MEDICARE: CSI PRIVATE DUTY 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	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851724199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSI PRIVATE DUTY SERVICES, INC

Provider Business Mailing Address
First Line	:	33 S STATE ST FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-2804
Country	:	US
Telephone Number	:	312-762-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N LAURA ST STE 818
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-3502
Country	:	US
Telephone Number	:	386-761-7351
Fax Number	:	386-761-9923

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER, SECRETARY
Name	:	JOSEPH BONACCORSI
Credential	:
Telephone Number	:	312-762-9999

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	03/03/2026

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Directions to “CSI PRIVATE DUTY SERVICES, INC ” Practice Location

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