Organization
CHICAGO HOME HEALTHCARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GAJELLA (ADMINISTRATOR)
(312) 421-6800
Entity
Organization
Contact information
Practice address
940 W ADAMS ST STE 302, CHICAGO, IL 60607-3752
(312) 421-6800
(312) 421-5366
Mailing address
940 W ADAMS ST STE 302, CHICAGO, IL 60607-3752
(630) 450-0189
(312) 421-5366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL1010429
IL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147826
—
IL
01
—
IL1010429
HOME HEALTH LICENSE NO.
IL
01
—
MW11950
SUBMITTER ID
IL
Enumeration date
06/01/2006
Last updated
07/23/2024
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