MEDICARE: JCARE HOME MEDICAL SUPPLIES,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	332B00000X	Durable Medical Equipment & Medical Supplies	203.000517	IL

General Provider Information

NPI Number	:	1477618544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JCARE HOME MEDICAL SUPPLIES,INC

Provider Business Mailing Address
First Line	:	8064 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2802
Country	:	US
Telephone Number	:	847-823-4747
Fax Number	:	847-823-3991

Provider Business Practice Location Address
First Line	:	8064 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2802
Country	:	US
Telephone Number	:	847-823-4747
Fax Number	:	847-823-3991

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HAROLD HALMAN
Credential	:
Telephone Number	:	847-823-4747

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	11/21/2012

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