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NPI Code Detail

MEDICARE: METRO CHICAGO HOME HEALTH CARE ASSOICATES

MEDICARE: METRO CHICAGO HOME HEALTH CARE ASSOICATES
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
1372600000XAdult Companion
2347C00000XPrivate Vehicle
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1164840716
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO CHICAGO HOME HEALTH CARE ASSOICATES
Provider Business Mailing Address
First Line : 7000 W NORTH AVE
Second Line : SUITE 1A
City : CHICAGO
State : IL
Zip : 60707-4334
Country : US
Telephone Number : 773-237-2275
Fax Number :
Provider Business Practice Location Address
First Line : 7000 W NORTH AVE
Second Line : SUITE 1B
City : CHICAGO
State : IL
Zip : 60707-4334
Country : US
Telephone Number : 773-237-2275
Fax Number : 773-237-2295
Authorized Official
Title or Position : OWNER
Name : MR. ROBERT STELLETELLO
Credential :
Telephone Number : 773-237-2275
Provider Enumeration Date : 04/01/2014
Last Update Date : 03/10/2016

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Directions to “METRO CHICAGO HOME HEALTH CARE ASSOICATES ” Practice Location

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