Provider Demographics
NPI:1255357687
Name:NURSE EXPERTS LLC
Entity type:Organization
Organization Name:NURSE EXPERTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / AGENCY SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:RELUYA
Authorized Official - Last Name:CARREON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-583-8710
Mailing Address - Street 1:7605 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3132
Mailing Address - Country:US
Mailing Address - Phone:847-583-8710
Mailing Address - Fax:847-583-8713
Practice Address - Street 1:7605 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3132
Practice Address - Country:US
Practice Address - Phone:847-583-8710
Practice Address - Fax:847-583-8713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010598251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147937Medicare Oscar/Certification