Organization
CHICAGO HOME CAREGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED I KHAN (PRESIDENT)
(773) 679-0987
Entity
Organization
Contact information
Practice address
1263 S HIGHLAND AVE, SUITE 1C, LOMBARD, IL 60148-4516
(773) 679-0987
Mailing address
1263 S HIGHLAND AVE, SUITE 1C, LOMBARD, IL 60148-4516
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
HOME CARE
IL
Enumeration date
05/08/2015
Last updated
05/08/2015
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