1750345070 NPI number — I V SOLUTIONS LLC

Table of content: (NPI 1750345070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750345070 NPI number — I V SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
I V SOLUTIONS LLC
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:
IV SOLUTIONS LLC
Provider Other Organization Name Type Code:
3
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:
1750345070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
165 HANSEN CT STE 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOOD DALE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60191-1110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-945-4444
Provider Business Mailing Address Fax Number:
847-236-4966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 HANSEN CT
Provider Second Line Business Practice Location Address:
STE 106
Provider Business Practice Location Address City Name:
WOOD DALE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60191-1110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-945-4444
Provider Business Practice Location Address Fax Number:
847-236-4966
Provider Enumeration Date:
04/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FURMAN
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
Authorized Official Title or Position:
REIMBURSEMENT MANAGER
Authorized Official Telephone Number:
847-945-4444

Provider Taxonomy Codes

  • Taxonomy code: 3336H0001X , with the licence number:  054014550 , 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: 2023610 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com