Organization
ABRIDGE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEROZ JALAL (OWNER/CEO)
(773) 999-3999
Entity
Organization
Contact information
Practice address
4744 W PETERSON AVE, CHICAGO, IL 60646-5706
(773) 999-3999
Mailing address
4744 W PETERSON AVE, CHICAGO, IL 60646-5706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148245
PTAN
IL
Enumeration date
05/05/2016
Last updated
05/05/2016
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