MEDICARE: CARING HANDS CILA OF ILLINOIS 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	251S00000X	Community/Behavioral Health Agency	201400013C	IL

General Provider Information

NPI Number	:	1558769091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS CILA OF ILLINOIS INC

Provider Business Mailing Address
First Line	:	22113 GOVERNORS HWY
Second Line	:
City	:	RICHTON PARK
State	:	IL
Zip	:	60471-1249
Country	:	US
Telephone Number	:	773-954-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	14475 JOHN HUMPHREY DR
Second Line	:	SUITE 130
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-6205
Country	:	US
Telephone Number	:	773-954-4476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHUMEKA HILL
Credential	:
Telephone Number	:	773-954-4476

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	12/16/2014

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