# SWEDISH COVENANT HOSPITAL HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1659380210
- **Authorized official:** MR. GARY KRUGEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (773) 878-8200

## Contact information

- **Practice address:** 2965 W PETERSON AVE, CHICAGO, IL 60659-3808
- **Practice address phone:** (773) 275-9700
- **Mailing address:** 2965 W PETERSON AVE, CHICAGO, IL 60659-3808
- **Mailing address phone:** (773) 275-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1003474 | IL | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 11/18/2011