MEDICARE: UNITED HOME HEALTH SERVICES OF COOK COUNTY, 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	251E00000X	Home Health Agency	1007863	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01621322	OTHER	IL	BLUE CROSS-BLUE SHIELD

General Provider Information

NPI Number	:	1265428320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HOME HEALTH SERVICES OF COOK COUNTY, INC.

Provider Business Mailing Address
First Line	:	9510 ORMSBY STATION RD
Second Line	:	SUITE 300
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4081
Country	:	US
Telephone Number	:	502-891-1000
Fax Number	:	502-891-8067

Provider Business Practice Location Address
First Line	:	1820 RIDGE RD
Second Line	:	SUITE 300
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1760
Country	:	US
Telephone Number	:	708-647-1042
Fax Number	:	708-647-1095

Authorized Official
Title or Position	:	SR VP, CFO
Name	:	MR. C. STEVEN GUENTHNER
Credential	:
Telephone Number	:	502-891-1000

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/22/2020

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