NORTHWESTERN LAKE FOREST HOSPITAL - HME and Services Provider License in Illinois | # 203000596

NORTHWESTERN LAKE FOREST HOSPITAL

Business Entity

CLOSED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000596

License Status

CLOSED

Business

Y

Business Name

NORTHWESTERN LAKE FOREST HOSPITAL

Original Issue Date

08/18/2004

Effective Date

02/23/2015

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

02/23/2015