# ILLINOIS FAMILY HOME HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ILLINOIS FAMILY HOME HEALTH SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154604031
- **Legal business name:** ILLINOIS FAMILY HOME HEALTH SERVICES, LLC
- **Authorized official:** ABRAHAM MATHAI (ADMINISTRATOR)
- **Authorized official phone:** (847) 972-1590

## Contact information

- **Practice address:** 2401 W US HIGHWAY 20, \#200, PINGREE GROVE, IL 60140-8818
- **Practice address phone:** (847) 972-1590
- **Practice address fax:** (847) 972-1544
- **Mailing address:** 2401 W US HIGHWAY 20, \#200, PINGREE GROVE, IL 60140-8818
- **Mailing address phone:** (847) 972-1590
- **Mailing address fax:** (847) 972-1544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2019992 | IL | Yes |

## Other

- **Enumeration date:** 09/27/2011
- **Last updated:** 09/27/2011
