MEDICARE: AAA HOME HEALTH SERVICES 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	332B00000X	Durable Medical Equipment & Medical Supplies	APPLIED FOR	IL

General Provider Information

NPI Number	:	1568624039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	7324 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1814
Country	:	US
Telephone Number	:	708-612-8950
Fax Number	:	630-458-6938

Provider Business Practice Location Address
First Line	:	7324 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1814
Country	:	US
Telephone Number	:	708-612-8950
Fax Number	:	630-458-6938

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SHAIK ANWAR AHMED
Credential	:
Telephone Number	:	708-612-8950

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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