Provider Demographics
NPI:1174846943
Name:VOLNIK HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:VOLNIK HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTOLA-FABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-423-2189
Mailing Address - Street 1:8401 CRAWFORD AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2154
Mailing Address - Country:US
Mailing Address - Phone:847-423-2189
Mailing Address - Fax:847-779-3081
Practice Address - Street 1:8401 CRAWFORD AVE
Practice Address - Street 2:STE 105
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2154
Practice Address - Country:US
Practice Address - Phone:847-423-2189
Practice Address - Fax:847-779-3081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011089251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health