| NPI | 1487654356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL RAZZAQ SIDDIQ Administrator 847-813-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011810) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 1571762) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-10-13 |