| NPI | 1093741415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMED Administrator 708-398-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010758) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 070-007492) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-03-16 |