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Organization

HEXAGRAM HOME HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE EMBRADURA TUANQUI (ADMINISTRATOR)
(773) 205-1416
Entity
Organization

Contact information

Practice address
4747 W PETERSON AVE, 410, CHICAGO, IL 60646-5712
(773) 205-1416
(773) 557-7048
Mailing address
4747 W PETERSON AVE, 410, CHICAGO, IL 60646-5712
(773) 205-1416
(773) 557-7048

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010712
IL

Other

Enumeration date
06/18/2007
Last updated
12/28/2011
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