MEDICARE: ARC HEALTHCARE PROVIDERS, LLC

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	1010924	IL

General Provider Information

NPI Number	:	1881843209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC HEALTHCARE PROVIDERS, LLC

Provider Business Mailing Address
First Line	:	4628 W 106TH PL
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-5247
Country	:	US
Telephone Number	:	708-363-8471
Fax Number	:	708-529-3963

Provider Business Practice Location Address
First Line	:	4628 W 106TH PL
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-5247
Country	:	US
Telephone Number	:	708-363-8471
Fax Number	:	708-529-3963

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	DR. ROSEMARIE URO CLIMACO
Credential	:	M.D.
Telephone Number	:	708-363-8471

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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