MEDICARE: ABC NAPERVILLE LLC

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	:	1821951146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC NAPERVILLE LLC

Provider Business Mailing Address
First Line	:	3060 OGDEN AVE STE 302
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-1690
Country	:	US
Telephone Number	:	630-788-3099
Fax Number	:

Provider Business Practice Location Address
First Line	:	3060 OGDEN AVE STE 302
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-1690
Country	:	US
Telephone Number	:	630-788-3099
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. RAGHUNANDAN SARUP
Credential	:
Telephone Number	:	630-788-3099

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ABC NAPERVILLE LLC ” Practice Location

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