Organization
LEXINGTON PRIVATE CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BARTHELT CPA (VP FIANCE)
(630) 652-7915
Entity
Organization
Contact information
Practice address
665 W NORTH AVE STE 400-B, LOMBARD, IL 60148
(630) 748-3700
(630) 748-3701
Mailing address
665 W NORTH AVE STE 400-B, LOMBARD, IL 60148-1189
(630) 748-3700
(630) 748-3701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3000168
IL
251E00000X
Home Health Agency
Primary
4000123
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
203.000700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203.000700
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
01/27/2007
Last updated
05/14/2018
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