# NIGHTINGALE HOME HEALTHCARE OF ILLINOIS INC

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

## Provider details

- **NPI number:** 1174504286
- **Authorized official:** DR. DEV BRAR (OWNER)
- **Authorized official phone:** (866) 334-7774

## Contact information

- **Practice address:** 628 EXECUTIVE DR, WILLOWBROOK, IL 60527-5610
- **Practice address phone:** (630) 654-2300
- **Practice address fax:** (630) 654-0800
- **Mailing address:** PO BOX 1710, CARMEL, IN 46082-1710
- **Mailing address phone:** (866) 334-7774
- **Mailing address fax:** (317) 569-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010241 | IL | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 05/29/2020