Organization
SUPREME HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CACHERO MEDRANO (PRESIDENT)
(773) 802-2281
Entity
Organization
Contact information
Practice address
3525 W. PETERSON AVE., CHICAGO, IL 60659-3324
(773) 802-2281
(888) 316-6045
Mailing address
3525 W PETERSON AVE, CHICAGO, IL 60659-3324
(773) 802-2281
(888) 316-6045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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