Healthcare Provider Details

I. General information

NPI: 1720349442
Provider Name (Legal Business Name): EUROPEAN SERVICE AT HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N HICKS RD
PALATINE IL
60067-3607
US

IV. Provider business mailing address

520 N HICKS RD
PALATINE IL
60067-3607
US

V. Phone/Fax

Practice location:
  • Phone: 847-202-1249
  • Fax: 847-202-3266
Mailing address:
  • Phone: 847-202-1249
  • Fax: 847-202-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number3000122
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000122
License Number StateIL

VIII. Authorized Official

Name: SERGEY YAKOVLEV
Title or Position: PRESIDENT
Credential:
Phone: 847-202-1249