MEDICARE: AT CONTINUUM, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881902781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT CONTINUUM, LLC

Provider Business Mailing Address
First Line	:	380 BRAMPTON LN
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-3453
Country	:	US
Telephone Number	:	630-803-4838
Fax Number	:	847-234-2393

Provider Business Practice Location Address
First Line	:	380 BRAMPTON LN
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-3453
Country	:	US
Telephone Number	:	630-803-4838
Fax Number	:	847-234-2393

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MANISH PATEL
Credential	:
Telephone Number	:	630-803-4838

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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Directions to “AT CONTINUUM, LLC ” Practice Location

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