Gail Briggs, REGISTERED NURSE

Individual provider Active NPI Home Health Registered Nurse · South Holland, IL

NPI 1487110896 · NPPES record last updated Feb 11, 2019

Key facts

NPI
1487110896
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
041290838 (IL)
Practice address
1219 E 170TH St
South Holland, IL 60473-3588
Phone
(708) 646-7344
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
041290838ILMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041290838 IL Yes

Addresses

Primary practice location

1219 E 170TH St
South Holland, IL 60473-3588

Mailing address

1219 E 170TH St
South Holland, IL 60473-3588
Phone (708) 646-7344

Other providers in South Holland, IL

All providers in South Holland, IL · Home Health Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.