BLACKBAG HOME PHYSICIAN SERVICE LLC is a health service clinic center in Park Forest, IL. BLACKBAG HOME PHYSICIAN SERVICE LLC NPI is 1770824161. The provider is registered as an organization entity type.
The provider's business location address is:
437 NAVAJO ST
PARK FOREST, IL
ZIP 60466-520
Phone: (815) 406-5011
Fax: (888) 311-8610
The provider's authorized official is Nichelle Hampton .
The authorized official title is Chief Executive Officer and has the following contact phone number (312) 399-0285.
The enumeration date for this NPI number is 3/9/2013 and was last updated on 12/21/2014.