Organization
EXTENDED HOME LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN BROWNE (PRESIDENT)
(847) 215-9490
Entity
Organization
Contact information
Practice address
555 N WOLF RD, WHEELING, IL 60090-3027
(847) 215-9490
(847) 215-9632
Mailing address
555 N WOLF RD, WHEELING, IL 60090-3027
(847) 215-9490
(847) 215-9632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
332BC3200X
Customized Equipment (DME)
—
IL
Other
Enumeration date
08/07/2008
Last updated
07/21/2022
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