| NPI | 1053588343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WACHARES VATHANANAND President/Administrator 847-965-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010754) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2011-08-24 |