MEDICARE: ACCESS HEALTH MEDICAL SUPPLIES AND HOME HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker
2	332B00000X	Durable Medical Equipment & Medical Supplies		IL

General Provider Information

NPI Number	:	1114009222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HEALTH MEDICAL SUPPLIES AND HOME HEALTH INC

Provider Business Mailing Address
First Line	:	2215 W 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1001
Country	:	US
Telephone Number	:	773-221-4273
Fax Number	:	773-221-4565

Provider Business Practice Location Address
First Line	:	2215 W 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1001
Country	:	US
Telephone Number	:	773-221-4273
Fax Number	:	773-221-4565

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MICHAEL ILOEGBUNAM
Credential	:
Telephone Number	:	773-221-4273

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/03/2024

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