Organization
WEBRIDGE HOME HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ENERO KAM (ADMINISTRATOR)
(847) 673-8760
Entity
Organization
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 200, LINCOLNWOOD, IL 60712-1709
(847) 673-8760
(847) 673-8761
Mailing address
7301 N LINCOLN AVE, SUITE 200, LINCOLNWOOD, IL 60712-1709
(847) 673-8760
(847) 673-8761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010605
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010605
FACILITY LICENSE
IL
Enumeration date
10/11/2006
Last updated
10/14/2009
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