# MEDSTAR HOME HEALTH SERVICES LTD.

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

## Provider details

- **NPI number:** 1093958365
- **Authorized official:** MR. OBED PENA (PRESIDENT)
- **Authorized official phone:** (312) 226-2828

## Contact information

- **Practice address:** 1019 W FULTON MARKET, SUITE 200, CHICAGO, IL 60607-1222
- **Practice address phone:** (312) 226-2828
- **Practice address fax:** (312) 226-1222
- **Mailing address:** 1019 W FULTON MARKET, SUITE 200, CHICAGO, IL 60607-1222
- **Mailing address phone:** (312) 226-2828
- **Mailing address fax:** (312) 226-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 10/06/2009