Provider Demographics
NPI:1144676834
Name:BUTTERFIELD HEALTH CARE VII, LLC
Entity type:Organization
Organization Name:BUTTERFIELD HEALTH CARE VII, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-759-1112
Mailing Address - Street 1:339 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-6429
Mailing Address - Country:US
Mailing Address - Phone:708-354-4660
Mailing Address - Fax:
Practice Address - Street 1:339 9TH AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-6429
Practice Address - Country:US
Practice Address - Phone:708-354-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========801OtherMEDICAID DME