# ILLINOIS HOME HEALTH AGENCY LLC

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

## Provider details

- **NPI number:** 1710783931
- **Authorized official:** HASEEN S MEHDI (MEMBER/CEO)
- **Authorized official phone:** (312) 667-8844

## Contact information

- **Practice address:** 1420 RENAISSANCE DR STE 409, PARK RIDGE, IL 60068-1345
- **Practice address phone:** (773) 572-8520
- **Mailing address:** 1420 RENAISSANCE DR STE 409, PARK RIDGE, IL 60068-1345
- **Mailing address phone:** (773) 572-8520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025