MEDICARE: BEST COVID CARE 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1841929262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST COVID CARE LLC

Provider Business Mailing Address
First Line	:	1553 BLOOMINGDALE RD UNIT 9001000
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2751
Country	:	US
Telephone Number	:	630-386-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	1746 W ALGONQUIN RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3405
Country	:	US
Telephone Number	:	773-679-1400
Fax Number	:

Authorized Official
Title or Position	:	CO-CEO
Name	:	MOHAMMED F CHUCK
Credential	:
Telephone Number	:	773-679-1400

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

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