Healthcare Provider Details

I. General information

NPI: 1902831910
Provider Name (Legal Business Name): DUPAGE HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N LA GRANGE RD
LA GRANGE IL
60525-2059
US

IV. Provider business mailing address

136 N LA GRANGE RD
LA GRANGE IL
60525-2059
US

V. Phone/Fax

Practice location:
  • Phone: 708-354-4405
  • Fax: 708-354-4406
Mailing address:
  • Phone: 708-354-4405
  • Fax: 708-354-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010293
License Number StateIL

VIII. Authorized Official

Name: MS. EDEN BOCATCAT
Title or Position: MANAGER
Credential:
Phone: 708-354-4405