MEDICARE: ADVOCATE HOME CARE PRODUCTS, 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1617625	OTHER	IL	BLUE CROSS BLUE SHIELD IL

General Provider Information

NPI Number	:	1114994662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATE HOME CARE PRODUCTS, INC

Provider Business Mailing Address
First Line	:	2311 W 22ND ST STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-4103
Country	:	US
Telephone Number	:	630-572-1232
Fax Number	:	630-368-5912

Provider Business Practice Location Address
First Line	:	949 N LARCH AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-1128
Country	:	US
Telephone Number	:	630-516-3100
Fax Number	:	630-516-3130

Authorized Official
Title or Position	:	VP MANAGED HEALTH
Name	:	KARA RICHARDSON
Credential	:
Telephone Number	:	980-416-4068

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	06/02/2026

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