Healthcare Provider Details

I. General information

NPI: 1962819987
Provider Name (Legal Business Name): CLINICAL SPECIALTIES NETWORK SERVICES OF ILLINOIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6288 HUDSON CROSSING PKWY
HUDSON OH
44236-4347
US

IV. Provider business mailing address

6288 HUDSON CROSSING PKWY
HUDSON OH
44236-4347
US

V. Phone/Fax

Practice location:
  • Phone: 440-717-1700
  • Fax: 440-717-1705
Mailing address:
  • Phone: 440-717-1700
  • Fax: 440-717-1705

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: MEENAL SETHNA
Title or Position: PRESIDENT /CFO
Credential:
Phone: 800-879-6137