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Organization

NORTHSHORE HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERALD YANG (AGENCY MANAGER)
(847) 782-8890
Entity
Organization

Contact information

Practice address
2504 WASHINGTON STREET, SUITE 502-A, WAUKEGAN, IL 60085-4998
(847) 782-8890
(847) 782-8805
Mailing address
2504 WASHINGTON STREET, SUITE 502-A, WAUKEGAN, IL 60085-4998
(847) 782-8890
(847) 782-8805

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3001195
IL

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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