MEDICARE: WILLIS HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1063157527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIS HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1448 N MILWAUKEE AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-6412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 N MILWAUKEE AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-6412
Country	:	US
Telephone Number	:	630-481-6463
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	STEPHANIE WILLIS
Credential	:
Telephone Number	:	312-480-1656

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	04/29/2022

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Directions to “WILLIS HEALTHCARE INC ” Practice Location

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