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Organization

CHICAGO HOME HEALTHCARE AGENCY LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYRIL NKEMEH (PRESIDENT)
(773) 734-9833
Entity
Organization

Contact information

Practice address
2403 EAST 75TH STREET, CHICAGO, IL 60649
(773) 734-9833
(773) 734-8880
Mailing address
2403 EAST 75TH STREET, CHICAGO, IL 60649
(773) 734-9833
(773) 734-8880

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010221
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50239
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/05/2006
Last updated
02/23/2012
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