Organization
SAMARITAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDDIQ AHMED (ADMINISTRATOR)
(847) 877-5808
Entity
Organization
Contact information
Practice address
1585 ELLINWOOD AVE STE L19, DES PLAINES, IL 60016-4540
(847) 376-8524
(847) 813-6471
Mailing address
2340 S RIVER RD, SUITE 109, DES PLAINES, IL 60018-3222
(847) 357-9410
(847) 357-9437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010895
IL
Other
Enumeration date
08/08/2008
Last updated
04/02/2019
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