MEDICARE: 24SEVEN HEALTH CARE SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1011165	IL

General Provider Information

NPI Number	:	1316270408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	24SEVEN HEALTH CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	3318 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3510
Country	:	US
Telephone Number	:	773-463-3755
Fax Number	:	773-463-3744

Provider Business Practice Location Address
First Line	:	3318 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3510
Country	:	US
Telephone Number	:	773-463-3755
Fax Number	:	773-463-3744

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. YOUNGIN KIM
Credential	:	CPA
Telephone Number	:	773-934-4672

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	09/08/2009

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