| Organization Name: | ALEXIAN BROTHERS HOME INFUSION |
| NPI Number: | 1275740961 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN A GUNDERSON (AVP, ANCILLARY SERVICES) |
| Mailing Address: | 1515 E Lake St Suite 210 Hanover Park |
| State: | IL US |
| Postal Code: | 601334896 |
| Phone Number: | 6302335010 |
| Fax Number: | 6302335021 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 1006824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |