MEDICARE: FEDERAL HEALTH SUPPORT SERVICES

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

General Provider Information

NPI Number	:	1528368412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEDERAL HEALTH SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	2600 W WALTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4533
Country	:	US
Telephone Number	:	773-303-4600
Fax Number	:	773-303-4600

Provider Business Practice Location Address
First Line	:	2600 W WALTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4533
Country	:	US
Telephone Number	:	773-303-4600
Fax Number	:	773-303-4600

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANETTE BATISTA
Credential	:
Telephone Number	:	773-303-4600

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/26/2010

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