MEDICARE: AMERICAN HOME CARE EXPRESS, 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	1007822	IL

General Provider Information

NPI Number	:	1730186040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOME CARE EXPRESS, INC.

Provider Business Mailing Address
First Line	:	6421 N HAMLIN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-4041
Country	:	US
Telephone Number	:	847-763-9420
Fax Number	:	847-763-9421

Provider Business Practice Location Address
First Line	:	6421 N HAMLIN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-4041
Country	:	US
Telephone Number	:	847-763-9420
Fax Number	:	847-763-9421

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MS. NORMA DUMLAO FIGUEROA
Credential	:	RN BSN
Telephone Number	:	847-763-9420

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/24/2012

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