| NPI | 1437636966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MUHAMMAD Owner 708-769-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 4000553) |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: IL 4000553) |
| 251E00000X Home Health (Licence: IL 4000553) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-27 |