Healthcare Provider Details

I. General information

NPI: 1568659001
Provider Name (Legal Business Name): ANTONIETTA PADIOS HOJILLA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TONEE PADIOS HOJILLA RN

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 PLAINFIELD RD SUITE 309
WILLOWBROOK IL
60527-5343
US

IV. Provider business mailing address

621 PLAINFIELD RD SUITE 309
WILLOWBROOK IL
60527-5343
US

V. Phone/Fax

Practice location:
  • Phone: 708-374-4888
  • Fax: 708-687-9851
Mailing address:
  • Phone: 708-374-4888
  • Fax: 708-687-9851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: