Organization
SUBURBAN HOME HEALTH CARE, INC.
Active
Other names
Big Heart Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF ALI ELKOSSEI P.T. (PRESIDENT)
(708) 907-3912
Entity
Organization
Contact information
Practice address
9318 S KEDZIE AVE, SUITE 8, EVERGREEN PARK, IL 60805-2323
(708) 907-3912
(708) 907-3915
Mailing address
9318 S KEDZIE AVE, SUITE 8, EVERGREEN PARK, IL 60805-2323
(708) 907-3912
(708) 907-3915
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1023779
CLIA
IL
Enumeration date
12/13/2006
Last updated
12/18/2012
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