Organization
ASSYRIAN NATIONAL COUNCIL OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISHO LILOU (DIRECTOR)
(773) 262-5589
Entity
Organization
Contact information
Practice address
2450 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 262-5589
(773) 262-0828
Mailing address
2450 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 262-5589
(773) 262-0828
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5422-449-4
IL
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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