Organization
COLLABORATIVE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUBUKOLA (BUKI) FABUSIWA PHARMD (ADMINISTRATOR)
(847) 873-9122
Entity
Organization
Contact information
Practice address
1810 LAKE ST, SECOND FLOOR, EVANSTON, IL 60201-4068
(224) 420-2766
Mailing address
1810 LAKE ST, SECOND FLOOR, EVANSTON, IL 60201-4068
(224) 420-2766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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