Organization
FAMILY HOME HEALTH CARE PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMMA BUMANGLAG JR. (ADMINISTRATOR/TREASURER)
(847) 779-3398
Entity
Organization
Contact information
Practice address
3924 W DEVON AVE STE 100C&D, LINCOLNWOOD, IL 60712-1040
(847) 779-3398
(847) 972-1025
Mailing address
3924 W DEVON AVE STE 101C&D, LINCOLNWOOD, IL 60712-1040
(847) 779-3398
(847) 972-1025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010772
IL DEPT OF PUBLIC HEALTH
IL
Enumeration date
10/21/2007
Last updated
11/03/2017
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