MEDICARE: ANGELS HOMECARE AND MEDICAL 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

General Provider Information

NPI Number	:	1568779544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS HOMECARE AND MEDICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	1750 E 87TH ST
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60617-2713
Country	:	US
Telephone Number	:	773-716-8911
Fax Number	:	773-221-4565

Provider Business Practice Location Address
First Line	:	1750 E 87TH ST
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60617-2713
Country	:	US
Telephone Number	:	773-716-8911
Fax Number	:	773-221-4565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL ILOEGBUNAM
Credential	:
Telephone Number	:	773-716-8911

Provider Enumeration Date	:	09/11/2010
Last Update Date	:	09/11/2010

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