Organization
SYCAMORE NURSING AGENCY
Active
Other names
Sycamore Nursing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LADELE YUSSUFF (AGENCY MANAGER)
(847) 668-3923
Entity
Organization
Contact information
Practice address
2970 MARIA AVE STE 102A, NORTHBROOK, IL 60062-2023
(847) 770-6358
(224) 538-3038
Mailing address
2970 MARIA AVE STE 102A, NORTHBROOK, IL 60062-2023
(847) 770-6358
(224) 538-3038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4000365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000635
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
12/19/2011
Last updated
12/19/2011
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