Organization
CHICAGOLAND HOME HEALTH PROVIDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINA C ROQUE RN (ADMINISTRATOR)
(847) 296-3950
Entity
Organization
Contact information
Practice address
2644 E DEMPSTER ST, SUITE 101, PARK RIDGE, IL 60068-8411
(847) 296-3950
(847) 296-3955
Mailing address
2644 E DEMPSTER ST, SUITE 101, PARK RIDGE, IL 60068-8411
(847) 296-3950
(847) 296-3955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010421
IL
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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