# BAY GROUP HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1063441996
- **Authorized official:** MR. MAX AZAROV (ALT. ADMINISTRATOR)
- **Authorized official phone:** (219) 629-5492

## Contact information

- **Practice address:** 6160 N CICERO AVE, SUITE 104, CHICAGO, IL 60646-4312
- **Practice address phone:** (773) 282-9610
- **Practice address fax:** (773) 282-9615
- **Mailing address:** 6160 N CICERO AVE, SUITE 104, CHICAGO, IL 60646-4312
- **Mailing address phone:** (773) 282-9610
- **Mailing address fax:** (773) 282-9615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010557 | IL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 03/19/2008