Organization
PRIVATE HOME CARE UNLIMITED, INC.
Active
Parent organization
KABAFUSION HOLDING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KABAFUSION HOLDING LLC
Authorized official
DR. SOHAIL MASOOD PHARM.D (PRESIDENT & CEO)
(800) 435-3020
Entity
Organization
Contact information
Practice address
5517 N CUMBERLAND AVE, SUITE 915, CHICAGO, IL 60656-4738
(773) 467-6000
(773) 467-6001
Mailing address
5517 N CUMBERLAND AVE, SUITE 915, CHICAGO, IL 60656-4738
(773) 467-6000
(773) 467-6001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1004589
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9639
BCBSIL PROVIDER #
IL
Enumeration date
02/24/2006
Last updated
01/27/2017
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