# PROHEALTH HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013927318
- **Authorized official:** MR. MAZHAR H TABREZI (MANAGER/AGENCY SUPERVISOR)
- **Authorized official phone:** (847) 795-0800

## Contact information

- **Practice address:** 2604 DEMPSTER ST, STE\#205, PARK RIDGE, IL 60068-8412
- **Practice address phone:** (847) 795-0800
- **Practice address fax:** (847) 795-0808
- **Mailing address:** 2604 DEMPSTER ST, STE\#205, PARK RIDGE, IL 60068-8412
- **Mailing address phone:** (847) 795-0800
- **Mailing address fax:** (847) 795-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 1010403 | IL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 01/12/2012