# MCJ HOME HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1275744914
- **Authorized official:** MANUEL C COMISO JR. RN (ADMINISTRATOR)
- **Authorized official phone:** (773) 550-9867

## Contact information

- **Practice address:** 6120 W NORTH AVE STE 105, CHICAGO, IL 60639-3903
- **Practice address phone:** (773) 550-9867
- **Mailing address:** 6120 W NORTH AVE STE 105, CHICAGO, IL 60639-3903
- **Mailing address phone:** (773) 550-9867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 65051125 | IL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 10/05/2007