# ICG HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1922546050
- **Authorized official:** DOROTA MARIA SWOBODA (PHYSICAL THERAPIST)
- **Authorized official phone:** (847) 217-1802

## Contact information

- **Practice address:** 1010 N HOOKER ST, SUITE 301, CHICAGO, IL 60642-4549
- **Practice address phone:** (312) 943-3600
- **Practice address fax:** (866) 314-6133
- **Mailing address:** 4626 KOLZE AVE, SCHILLER PARK, IL 60176-1610
- **Mailing address phone:** (847) 217-1802
- **Mailing address fax:** (866) 314-6133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 070011192 | IL | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017