Organization
HEALTHSOURCE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHUNG (ADMINISTRATOR)
(630) 390-0190
Entity
Organization
Contact information
Practice address
2863 95TH ST STE 143-376, NAPERVILLE, IL 60564
(630) 390-0190
(630) 622-1515
Mailing address
2863 95TH ST STE 143-376, NAPERVILLE, IL 60564-9005
(630) 390-0190
(630) 810-5725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1010593
IL
251E00000X
Home Health Agency
1011070
IL
376J00000X
Homemaker
Primary
8421173
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8421173
—
IL
Enumeration date
11/14/2006
Last updated
07/24/2018
About Stedi
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