MEDICARE: AMERICA UNITED HEALTHCARE SERVICES

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	3000827	IL

General Provider Information

NPI Number	:	1982977187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA UNITED HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	4001 W DEVON AVE
Second Line	:	SUITE 206
City	:	CHICAGO
State	:	IL
Zip	:	60646-4523
Country	:	US
Telephone Number	:	773-853-0111
Fax Number	:	773-628-7127

Provider Business Practice Location Address
First Line	:	4001 W DEVON AVE
Second Line	:	SUITE 206
City	:	CHICAGO
State	:	IL
Zip	:	60646-4523
Country	:	US
Telephone Number	:	773-853-0111
Fax Number	:	773-628-7127

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MAKSIM BARON
Credential	:
Telephone Number	:	773-853-0111

Provider Enumeration Date	:	02/17/2012
Last Update Date	:	02/17/2012

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