Provider Demographics
NPI:1962214916
Name:CATHERINES VISION HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CATHERINES VISION HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-308-7605
Mailing Address - Street 1:17504 E CARRIAGEWAY DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2089
Mailing Address - Country:US
Mailing Address - Phone:708-308-7605
Mailing Address - Fax:708-365-6253
Practice Address - Street 1:17504 E CARRIAGEWAY DR STE B
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2089
Practice Address - Country:US
Practice Address - Phone:708-308-7605
Practice Address - Fax:708-365-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care