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Organization
GOOD SHEPHERD HEALTHCARE LLC
Active
Organization
GOOD SHEPHERD HEALTHCARE LLC
Active
Other names
Good Shepherd Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MANUEL (ADMINISTRATOR)
(773) 478-1784
Entity
Organization
Contact information
Practice address
3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
(773) 478-1784
(773) 478-2133
Mailing address
3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
(773) 478-1784
(773) 478-2133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010661
IL
Other
Enumeration date
03/02/2007
Last updated
02/06/2023
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