Organization
ANGEL CARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO NOZAL RUZANO DOCTOR OF PHILOSOPHY (DIRECTOR)
(872) 888-5844
Entity
Organization
Contact information
Practice address
5875 N LINCOLN AVE, CHICAGO, IL 60659-4672
(872) 888-5844
(847) 231-0224
Mailing address
7644 W OAKTON ST, NILES, IL 60714-2830
(872) 888-5844
(847) 231-0224
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
3001120
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001120
HOME CARE SERVICES
IL
Enumeration date
08/05/2017
Last updated
08/05/2017
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