Healthcare Provider Details

I. General information

NPI: 1558467688
Provider Name (Legal Business Name): MED CARE HEALTH MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 GRAPHICS DR STE 207
TINLEY PARK IL
60477-6278
US

IV. Provider business mailing address

7820 GRAPHIC DR STE 201
TINLEY PARK IL
60477-6278
US

V. Phone/Fax

Practice location:
  • Phone: 708-344-3100
  • Fax: 708-344-3131
Mailing address:
  • Phone: 773-685-9025
  • Fax: 773-685-9066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1010412
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010412
License Number StateIL

VIII. Authorized Official

Name: MR. ABITURAB 'ABI' BOXWALLA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 708-825-4060