NORTHERN ILLINOIS MEDICAL CENTER HME and Services Provider License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001371

License Status

CHANGE OF OWNERSHIP

Business

Business Name

NORTHERN ILLINOIS MEDICAL CENTER

Original Issue Date

11/29/2011

Effective Date

04/02/2018

Expiration Date

03/31/2021

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/25/2020