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Organization

COMPREHENSIVE QUALITY CARE INC FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M TAR PHD (PRESIDENT &CEO)
(773) 924-5900
Entity
Organization

Contact information

Practice address
3517 S KING DR, CHICAGO, IL 60653-3395
(773) 924-5900
(773) 924-5933
Mailing address
3517 SOUTH MARTIN LUTHER KING DR., CHICAGO, IL 60653
(773) 924-5900
(773) 924-5933

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010238
IL
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364435038001
IL
Enumeration date
06/04/2006
Last updated
01/27/2017
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