MEDICARE: SOMEONECARES4U LTD

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	149005585	IL

General Provider Information

NPI Number	:	1568617298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMEONECARES4U LTD

Provider Business Mailing Address
First Line	:	1 CINNAMON CREEK DR
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465-1041
Country	:	US
Telephone Number	:	312-423-9960
Fax Number	:	708-598-9013

Provider Business Practice Location Address
First Line	:	8700 W 95TH ST
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-2700
Country	:	US
Telephone Number	:	312-423-9960
Fax Number	:	708-598-9013

Authorized Official
Title or Position	:	SOLE PROPRIETOR/PRESIDENT
Name	:	MS. THERESA CHRISTINE MILLER
Credential	:	L.C.S.W./C.A.D.C.
Telephone Number	:	312-423-9960

Provider Enumeration Date	:	11/21/2008
Last Update Date	:	11/21/2008

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Practice Location Address:

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1639100993 — DR. ROBERT JOHN FAMILARO D.D.S., M.S.
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1689693871 — DENNIS E. MALECKI M.D., S.C
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1316107303 — MS. SUSAN L DASCENZI LCSW
Practice Location Address:

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