Organization
CHICAGO ELITE HOME CARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE COLONGON (PRESIDENT)
(708) 300-1001
Entity
Organization
Contact information
Practice address
7808 W COLLEGE DR STE LL1, PALOS HEIGHTS, IL 60463-1027
(708) 300-1001
Mailing address
7808 W COLLEGE DR STE LL1, PALOS HEIGHTS, IL 60463-1027
(708) 300-1001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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