Organization
DYNACARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABITURAB T. BOXWALLA (PRESIDENT)
(708) 560-2925
Entity
Organization
Contact information
Practice address
15 SPINNING WHEEL RD, SUITE 426, HINSDALE, IL 60521-2914
(630) 654-1641
(630) 654-1642
Mailing address
4800 W 129TH ST, ALSIP, IL 60803-3016
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1007277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9762
BLUECROSS BLUESHIELD
IL
Enumeration date
11/28/2006
Last updated
08/22/2020
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