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Organization

MCJ HOME HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL C COMISO JR. RN (ADMINISTRATOR)
(773) 550-9867
Entity
Organization

Contact information

Practice address
6120 W NORTH AVE STE 105, CHICAGO, IL 60639-3903
(773) 550-9867
Mailing address
6120 W NORTH AVE STE 105, CHICAGO, IL 60639-3903
(773) 550-9867

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
65051125
IL

Other

Enumeration date
05/24/2007
Last updated
10/05/2007
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