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Organization

ILLINOIS HOMECARE AND TRAINING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDDIE NGOZI NWOSU (PRESIDENT)
(773) 759-0760
Entity
Organization

Contact information

Practice address
4554 N. BROADWAY STREET, SUITE 316, CHICAGO, IL 60640
(773) 455-5696
(773) 784-5154
Mailing address
4554 N. BROADWAY STREET, SUITE 316, CHICAGO, IL 60640
(773) 455-5696
(773) 784-5154

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251E00000X
IL
Enumeration date
04/26/2017
Last updated
04/26/2017
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