Organization
NORTH SHORE HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY CARIAGA (ADMINISTRATOR)
(847) 213-0483
Entity
Organization
Contact information
Practice address
1420 RENAISSANCE DR STE 312, PARK RIDGE, IL 60068-1325
(847) 213-0483
(847) 213-0501
Mailing address
1420 RENAISSANCE DR STE 312, PARK RIDGE, IL 60068-1325
(847) 213-0483
(847) 213-0501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011929
IDPH
IL
Enumeration date
08/08/2008
Last updated
06/27/2023
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