Rita J Andriusis, RN

Individual provider Active NPI Home Health Registered Nurse · Lockport, IL

NPI 1972094449 · NPPES record last updated May 21, 2018

Key facts

NPI
1972094449
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
041.173240 (IL)
Practice address
17253 Fontana LN
Lockport, IL 60441-4863
Phone
(815) 838-5258
NPI assigned
May 21, 2018
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.173240ILMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041.173240 IL Yes

Addresses

Primary practice location

17253 Fontana LN
Lockport, IL 60441-4863

Mailing address

17237 Fontana LN
Lockport, IL 60441-4874
Phone (708) 431-5998

Other providers in Lockport, IL

All providers in Lockport, IL · Home Health Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.