Organization · Type 2 NPI
Coram Alternate Site Services, Inc.
Home Infusion Agency · Champaign, IL
NPI number
1114511490
Active
Practice location
2022 Glenn Park Dr
Champaign, IL 61821-2405
Mailing address
PO Box 809160
Chicago, IL 60680-9160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Home Infusion Agency Primary | 251F00000X | None listed |
| Nursing Care Agency | 251J00000X | None listed |
Home Infusion Agency: Definition to come...
Other home infusion agency providers in Champaign
About NPI 1114511490
Coram Alternate Site Services, Inc.'s National Provider Identifier is 1114511490, issued on Feb 26, 2021. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Champaign, IL. The record was last updated on Oct 19, 2022.