1548271224 NPI number — HEALTHCARE PLUS CORPORATION

Table of content: (NPI 1548271224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548271224 NPI number — HEALTHCARE PLUS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHCARE PLUS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548271224
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1272 W NORTHWEST HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALATINE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60067-1897
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-776-0800
Provider Business Mailing Address Fax Number:
847-776-1722

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1272 W NORTHWEST HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALATINE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60067-1897
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-776-0800
Provider Business Practice Location Address Fax Number:
847-776-1722
Provider Enumeration Date:
08/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VIZCARRA
Authorized Official First Name:
RANULFO
Authorized Official Middle Name:
S
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
847-776-0800

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1010227 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1010227 . This is a "IL LICENSE PERMIT CERT, R" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 2005-N0298 . This is a "NURSE AGENCY LICENSE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".