Organization
STATEWIDE HEALTHCARE SERVICES, LLC
Active
Other names
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Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BONACCORSI (CHIEF LEGAL OFFICER)
(312) 762-9999
Entity
Organization
Contact information
Practice address
33 S STATE ST STE 500, CHICAGO, IL 60603-2809
(312) 795-4693
(312) 704-0347
Mailing address
33 S STATE ST STE 500, CHICAGO, IL 60603-2809
(312) 795-4693
(312) 704-0347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/29/2006
Last updated
09/16/2022
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