MEDICARE: INTEGRAL HOME HEALTH CARE, 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	1010476	IL

General Provider Information

NPI Number	:	1366592594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAL HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2364 PLAINFIELD RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-1800
Country	:	US
Telephone Number	:	815-730-3358
Fax Number	:	815-730-3331

Provider Business Practice Location Address
First Line	:	2364 PLAINFIELD RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-1800
Country	:	US
Telephone Number	:	815-730-3358
Fax Number	:	815-730-3331

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. VICTORIA L. SY
Credential	:	RN
Telephone Number	:	815-730-3358

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	04/20/2008

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