Healthcare Provider Details

I. General information

NPI: 1164959474
Provider Name (Legal Business Name): AABCOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 05/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6416 S CASS AVE
WESTMONT IL
60559-3209
US

IV. Provider business mailing address

6416 S CASS AVE
WESTMONT IL
60559-3209
US

V. Phone/Fax

Practice location:
  • Phone: 630-493-9516
  • Fax: 630-493-9517
Mailing address:
  • Phone: 630-493-9516
  • Fax: 630-493-9517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEREEN BASITH
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 630-493-9516