Organization
ABIDING ANGELS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS JANSEN RODIEK (CEO)
(773) 697-3448
Entity
Organization
Contact information
Practice address
4157 N KENMORE AVE, #3S, CHICAGO, IL 60613-6417
(773) 697-3448
(773) 634-8468
Mailing address
4157 N KENMORE AVE, #3S, CHICAGO, IL 60613-6417
(773) 697-3448
(773) 634-8468
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000863
IL
253Z00000X
In Home Supportive Care Agency
8000255
IL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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