Organization
AMEDISYS ILLINOIS, L.L.C
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT/CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2215 YORK RD STE 209, OAK BROOK, IL 60523
(773) 564-6555
(630) 974-6924
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621796152006
—
IL
Enumeration date
01/04/2006
Last updated
10/01/2020
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