Organization
CHICAGO MIDWEST HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL RAZZAQ SIDDIQ (SECRETORY)
(630) 890-3275
Entity
Organization
Contact information
Practice address
2454 E DEMPSTER ST STE 151, DES PLAINES, IL 60016-5315
(847) 784-9966
(847) 305-3002
Mailing address
2454 E DEMPSTER ST STE 151, DES PLAINES, IL 60016-5315
(847) 784-9966
(847) 305-3002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010677
ILLINOIS STATE LICENSE
IL
01
—
148063
MEDICARE PTAN
IL
Enumeration date
08/09/2007
Last updated
09/19/2023
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