Individual
VIJAY A PRAJAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6880 LONGMEADOW LN, HANOVER PARK, IL 60133-3740
(800) 819-9068
Mailing address
6880 LONGMEADOW LN, HANOVER PARK, IL 60133-3740
(800) 819-9068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3002118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32-0661583
NON-MEDICAL HOME CARE SERVICE
IL
Enumeration date
11/10/2021
Last updated
11/10/2021
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