Organization
SHAH-NI-4 INC.
Active
Other names
PRIME CARELINE HOME CARE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
RAQIB SHAHZAD (MANAGING DIRECTOR)
(224) 251-8432
Entity
Organization
Contact information
Practice address
4354 N CENTRAL AVE STE D, CHICAGO, IL 60634-5600
(224) 251-8432
(224) 251-8319
Mailing address
125 FAIRFIELD WAY STE 104, BLOOMINGDALE, IL 60108-1556
(224) 251-8432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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