Organization
AERODYNE TECHNOLOGIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE VAUGHN (OWNER)
(708) 439-8578
Entity
Organization
Contact information
Practice address
1655 S BLUE ISLAND AVE, CHICAGO, IL 60608-2133
(708) 439-8578
Mailing address
1655 S BLUE ISLAND AVE, CHICAGO, IL 60608-2133
(708) 439-8578
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/20/2024
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