# AMERICAN HOME AMBULATORY CARE CENTER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN HOME CIRCLE OF CARE MANAGER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952859332
- **Legal business name:** AMERICAN HOME CIRCLE OF CARE MANAGER, INC
- **Authorized official:** VIRGINIA MAZOLA (COO)
- **Authorized official phone:** (773) 930-4538

## Contact information

- **Practice address:** 601 W GOLF RD, SUITE 106, MOUNT PROSPECT, IL 60056-4276
- **Practice address phone:** (773) 930-4538
- **Mailing address:** 601 W GOLF RD, SUITE 106, MOUNT PROSPECT, IL 60056-4276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016