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Organization

INTEGRATED HOME CARE SERVICES CHICAGO

Active
Other names
Integrated Respiratory Solutions Provena
Organization subpart
No

Provider details

NPI number
Authorized official
MARY CLARKE (SECRETARY/TREASURER)
(630) 582-0202
Entity
Organization

Contact information

Practice address
195 SPRINGFIELD AVE, SUITE 101, JOLIET, IL 60435-6507
(815) 725-6161
(818) 725-1139
Mailing address
480 LAKE ST, SUITE C, ROSELLE, IL 60172-3581
(630) 582-0202
(630) 582-3787

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
35035943
IL

Other

Enumeration date
03/23/2010
Last updated
10/03/2013
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