Healthcare Provider Details

I. General information

NPI: 1447482658
Provider Name (Legal Business Name): ARISTACARE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 W GOLF RD
HOFFMAN ESTATES IL
60169-1340
US

IV. Provider business mailing address

1056 W GOLF RD
HOFFMAN ESTATES IL
60169-1340
US

V. Phone/Fax

Practice location:
  • Phone: 847-490-3995
  • Fax: 847-490-3793
Mailing address:
  • Phone: 847-490-3995
  • Fax: 847-490-3793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number4646
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054016716
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2016010546
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1643-43
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number400-1561
License Number StateSD
# 7
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number265001
License Number StateMN
# 8
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR1300
License Number StateND
# 9
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number64002100A
License Number StateIN
# 10
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberOSP.0006779
License Number StateCO
# 11
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHNR001013
License Number StateGA
# 12
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 13
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberY006800
License Number StateAZ

VIII. Authorized Official

Name: PRASHANT PATEL
Title or Position: PRESIDENT
Credential:
Phone: 847-490-3995