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NPI Code Detail

MEDICARE: UNITED HOME CARE INCORPORATED OF ILLINOIS

MEDICARE: UNITED HOME CARE INCORPORATED OF ILLINOIS
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
1251E00000XHome Health Agency
2251E00000XHome Health Agency1010181IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114D0998502OTHERILCLIA

General Provider Information

NPI Number : 1851439079
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED HOME CARE INCORPORATED OF ILLINOIS
Provider Business Mailing Address
First Line : 500 E HIGGINS ROAD
Second Line : SUITE 105
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-1437
Country : US
Telephone Number : 847-640-2030
Fax Number : 847-640-2031
Provider Business Practice Location Address
First Line : 500 E HIGGINS ROAD
Second Line : SUITE 105
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-1437
Country : US
Telephone Number : 847-640-2030
Fax Number : 847-640-2031
Authorized Official
Title or Position : PRES./ADMINISTRATOR
Name : MS. JUDY C AGNO
Credential : RN, BSN
Telephone Number : 847-640-2030
Provider Enumeration Date : 02/01/2007
Last Update Date : 05/27/2015

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Directions to “UNITED HOME CARE INCORPORATED OF ILLINOIS ” Practice Location

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