OrganizationActive
Coram Alternate Site Services, Inc.
NPI 1114511490 · Home Infusion Agency · Champaign, IL
Provider details
- NPI number
- 1114511490
- Entity type
- Organization
- Primary specialty
- Home Infusion AgencyAgencies
- Authorized official
- Tricia Lacavich, President
Mailing address
Po Box 809160
Chicago, IL 60680-9160
Registry dates
- Enumerated
- 2021-02-26
- Last updated
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.