Organization
PEKO HEALTHCARE AND CONSULTING SERVICES, INC.
Active
Other names
PEKO Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH K OWUSU MPH, MBA (PRESIDENT/AGENCY ADMINISTRATOR)
(708) 539-9014
Entity
Organization
Contact information
Practice address
526 E 87TH ST, CHICAGO, IL 60619-6045
(312) 912-7672
(708) 747-1343
Mailing address
4986 GIBSON ST, MATTESON, IL 60443-3023
(773) 912-7672
(708) 747-1343
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011433
IL
251F00000X
Home Infusion Agency
4000342
IL
253Z00000X
In Home Supportive Care Agency
3000756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011433
ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME HEALTH AGENCY
IL
01
—
3000756
ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME SERVICES AGENCY
IL
01
—
4000342
ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME NURSING AGENCY
IL
Enumeration date
05/10/2013
Last updated
05/10/2013
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