MEDICARE: APOLLO HEALTH, 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	209.007535	IL

General Provider Information

NPI Number	:	1518306869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO HEALTH, INC

Provider Business Mailing Address
First Line	:	3344 W PETERSON AVE
Second Line	:	SUITE 101
City	:	CHICAGO
State	:	IL
Zip	:	60659-3528
Country	:	US
Telephone Number	:	773-245-3222
Fax Number	:	773-796-5250

Provider Business Practice Location Address
First Line	:	3344 W PETERSON AVE
Second Line	:	SUITE 101
City	:	CHICAGO
State	:	IL
Zip	:	60659-3528
Country	:	US
Telephone Number	:	773-245-3222
Fax Number	:	773-796-5250

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRIAN J WEINSTEIN
Credential	:	NP
Telephone Number	:	773-245-3222

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	07/29/2015

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Directions to “APOLLO HEALTH, INC ” Practice Location

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