Healthcare Provider Details

I. General information

NPI: 1982977187
Provider Name (Legal Business Name): AMERICA UNITED HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W DEVON AVE SUITE 206
CHICAGO IL
60646-4523
US

IV. Provider business mailing address

4001 W DEVON AVE SUITE 206
CHICAGO IL
60646-4523
US

V. Phone/Fax

Practice location:
  • Phone: 773-853-0111
  • Fax: 773-628-7127
Mailing address:
  • Phone: 773-853-0111
  • Fax: 773-628-7127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000827
License Number StateIL

VIII. Authorized Official

Name: MR. MAKSIM BARON
Title or Position: PRESIDENT
Credential:
Phone: 773-853-0111