MEDICARE: IMOSE

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1184570434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMOSE

Provider Business Mailing Address
First Line	:	6034 N WOLCOTT AVE APT 1N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-2365
Country	:	US
Telephone Number	:	773-786-6911
Fax Number	:

Provider Business Practice Location Address
First Line	:	6034 N WOLCOTT AVE APT 1N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-2365
Country	:	US
Telephone Number	:	773-786-6911
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANGELA IGBINEWEKA
Credential	:
Telephone Number	:	773-786-6911

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

Similar Medicare Providers

1043243918 — MR. CARL V KNUTSEN R.PH.
Practice Location Address:

2003 W FULTON ST , SUITE 401
CHICAGO, IL
60612-2365

Practice Phone: 312-222-8020
Practice Fax: 312-666-9220

1124051933 — DR. EMRE N. YEDIDAG M.D.
Practice Location Address:

2003 W FULTON ST STE 3 , C/O MR. SCOTT SCHNEIDER, PRESIDENT
CHICAGO, IL
60612-2365

Practice Phone: 773-292-4800
Practice Fax: 773-486-3548

1972518108 — WALGREEN CO
Practice Location Address:

635 CHICAGO AVE
EVANSTON, IL
60202-2365

Practice Phone: 847-864-8120
Practice Fax: 847-864-4974

1760544506 — GIDEON MARESKY MD
Practice Location Address:

2003 W FULTON ST
CHICAGO, IL
60612-2365

Practice Phone: 773-342-6200
Practice Fax:

1922156553 — LUXOTTICA OF AMERICA INC
Practice Location Address:

635 CHICAGO AVE
EVANSTON, IL
60202-2365

Practice Phone: 847-864-8176
Practice Fax:

1093867921 — DR. THOMAS B PAWLOWSKI M.D.
Practice Location Address:

2003 W FULTON ST STE 3
CHICAGO, IL
60612-2365

Practice Phone: 773-342-6200
Practice Fax:

Directions to “IMOSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.