MEDICARE: ILLINOIS HOME HEALTH 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	1011351	IL

General Provider Information

NPI Number	:	1538480231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILLINOIS HOME HEALTH SERVICES ,INC

Provider Business Mailing Address
First Line	:	2640 W TOUHY AVE STE 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3198
Country	:	US
Telephone Number	:	773-355-4134
Fax Number	:	773-338-6490

Provider Business Practice Location Address
First Line	:	2640 W TOUHY AVE STE 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3198
Country	:	US
Telephone Number	:	773-355-4134
Fax Number	:	773-338-6490

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDNA LONDRES RAMOS
Credential	:
Telephone Number	:	773-355-4134

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	12/15/2010

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