Provider Demographics
NPI:1245362623
Name:CHUNJI-ONE, CORPORATION
Entity type:Organization
Organization Name:CHUNJI-ONE, CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMOSIUNIENE
Authorized Official - Suffix:
Authorized Official - Credentials:RN/OWNER
Authorized Official - Phone:847-376-8939
Mailing Address - Street 1:1460 RENAISSANCE DRIVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068
Mailing Address - Country:US
Mailing Address - Phone:847-376-8939
Mailing Address - Fax:847-376-8936
Practice Address - Street 1:1460 RENAISSANCE DRIVE
Practice Address - Street 2:SUITE 411
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068
Practice Address - Country:US
Practice Address - Phone:847-376-8939
Practice Address - Fax:847-376-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
ILHI108326251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health