Healthcare Provider Details

I. General information

NPI: 1194524389
Provider Name (Legal Business Name): THERAPEUTIC HEALTH LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 PATRIOT BLVD STE C
GLENVIEW IL
60026-8024
US

IV. Provider business mailing address

2634 PATRIOT BLVD STE C
GLENVIEW IL
60026-8024
US

V. Phone/Fax

Practice location:
  • Phone: 773-571-4524
  • Fax:
Mailing address:
  • Phone: 773-571-4524
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MASOOD QADER
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-571-4524