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Organization

PROHEALTH HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAZHAR H TABREZI (MANAGER/AGENCY SUPERVISOR)
(847) 795-0800
Entity
Organization

Contact information

Practice address
2604 DEMPSTER ST, STE#205, PARK RIDGE, IL 60068-8412
(847) 795-0800
(847) 795-0808
Mailing address
2604 DEMPSTER ST, STE#205, PARK RIDGE, IL 60068-8412
(847) 795-0800
(847) 795-0808

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1010403
IL

Other

Enumeration date
08/09/2006
Last updated
01/12/2012
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