Provider Demographics
NPI:1174251185
Name:PROFESSIONAL HEALTHCARE INC
Entity type:Organization
Organization Name:PROFESSIONAL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAINTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-780-1836
Mailing Address - Street 1:2220 HICKS RD STE 240
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1258
Mailing Address - Country:US
Mailing Address - Phone:847-780-1836
Mailing Address - Fax:
Practice Address - Street 1:2220 HICKS RD STE 240
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1258
Practice Address - Country:US
Practice Address - Phone:847-780-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory