MEDICARE: UNIQUE HEALTHCARE CORPORATION

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	1010527	IL

General Provider Information

NPI Number	:	1982760096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE HEALTHCARE CORPORATION

Provider Business Mailing Address
First Line	:	3824 169TH ST
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-2138
Country	:	US
Telephone Number	:	708-798-9082
Fax Number	:	708-798-9082

Provider Business Practice Location Address
First Line	:	3824 169TH ST
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-2138
Country	:	US
Telephone Number	:	708-798-9082
Fax Number	:	708-798-9082

Authorized Official
Title or Position	:	PRESIDENT (CEO)
Name	:	MR. CHIJIOKE RICHARD JIMONU
Credential	:
Telephone Number	:	708-798-9082

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	08/22/2020

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Directions to “UNIQUE HEALTHCARE CORPORATION ” Practice Location

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