MEDICARE: CHERUB CARES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760136378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERUB CARES

Provider Business Mailing Address
First Line	:	4207 W JARVIS AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1905
Country	:	US
Telephone Number	:	847-567-0578
Fax Number	:

Provider Business Practice Location Address
First Line	:	4747 W PETERSON AVE STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5770
Country	:	US
Telephone Number	:	773-647-1200
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. LES CHERUVATHOOR
Credential	:
Telephone Number	:	847-567-0578

Provider Enumeration Date	:	02/11/2022
Last Update Date	:	05/25/2022

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Directions to “CHERUB CARES ” Practice Location

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