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NPI Code Detail

MEDICARE: KNK HOME HEALTH INC

MEDICARE: KNK HOME 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1760869564
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNK HOME HEALTH INC
Provider Business Mailing Address
First Line : 15337 CICERO AVE
Second Line : UNIT D
City : OAK FOREST
State : IL
Zip : 60452-2532
Country : US
Telephone Number : 708-535-2990
Fax Number :
Provider Business Practice Location Address
First Line : 15337 CICERO AVE
Second Line : UNIT D
City : OAK FOREST
State : IL
Zip : 60452-2532
Country : US
Telephone Number : 708-535-2990
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KURT WAGNER
Credential :
Telephone Number : 708-535-2990
Provider Enumeration Date : 04/30/2015
Last Update Date : 04/30/2015

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Directions to “KNK HOME HEALTH INC ” Practice Location

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