Individual
MS. SUROOSH HADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 ORLAND SQUARE DR STE 203, ORLAND PARK, IL 60462-6559
(708) 460-3235
(708) 460-3994
Mailing address
62 ORLAND SQUARE DR STE 203, ORLAND PARK, IL 60462-6559
(708) 460-3235
(708) 460-3994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010891
LICENSE
IL
Enumeration date
08/13/2019
Last updated
08/13/2019
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