Healthcare Provider Details

I. General information

NPI: 1396507596
Provider Name (Legal Business Name): MOBILE HEALTH TEAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E ERIE ST STE 525-4929
CHICAGO IL
60611-2740
US

IV. Provider business mailing address

4842 N MELVINA AVE
CHICAGO IL
60630-2906
US

V. Phone/Fax

Practice location:
  • Phone: 877-795-2217
  • Fax:
Mailing address:
  • Phone: 614-419-7820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTORY OKORIE
Title or Position: OWNER
Credential: RN
Phone: 847-750-6128