# ANGEL HEALTH CARE SERVICES SC

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

## Provider details

- **NPI number:** 1033352067
- **Authorized official:** DR. KISHORE KHANKARI (PRESIDENT)
- **Authorized official phone:** (312) 730-4223

## Contact information

- **Practice address:** 7906 S CRANDON AVE, 2, CHICAGO, IL 60617-1146
- **Practice address phone:** (312) 730-4223
- **Mailing address:** 7906 S CRANDON AVE, 2, CHICAGO, IL 60617-1146
- **Mailing address phone:** (312) 730-4223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036104389 | IL | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 06/15/2022