Healthcare Provider Details

I. General information

NPI: 1972177244
Provider Name (Legal Business Name): METRO CONTINUED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N DEARBORN ST
CHICAGO IL
60654-5900
US

IV. Provider business mailing address

712 N DEARBORN ST
CHICAGO IL
60654-3846
US

V. Phone/Fax

Practice location:
  • Phone: 312-820-7569
  • Fax: 913-815-1796
Mailing address:
  • Phone: 312-819-2849
  • Fax: 312-786-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GURIQBAL NANDRA
Title or Position: OFFICER
Credential: MD
Phone: 312-804-4566