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Organization

BAY GROUP HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAX AZAROV (ALT. ADMINISTRATOR)
(219) 629-5492
Entity
Organization

Contact information

Practice address
6160 N CICERO AVE, SUITE 104, CHICAGO, IL 60646-4312
(773) 282-9610
(773) 282-9615
Mailing address
6160 N CICERO AVE, SUITE 104, CHICAGO, IL 60646-4312
(773) 282-9610
(773) 282-9615

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010557
IL

Other

Enumeration date
07/02/2006
Last updated
03/19/2008
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