Organization
FORUM HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA KHOMUTOV RN (DIRECTOR OF CLINICAL SERVICES)
(847) 897-9090
Entity
Organization
Contact information
Practice address
900 SKOKIE BLVD, SUITE 230, NORTHBROOK, IL 60062-4012
(847) 897-9090
(847) 897-9090
Mailing address
900 SKOKIE BLVD, SUITE 230, NORTHBROOK, IL 60062-4012
(847) 897-9090
(847) 897-9090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010521
IL
Other
Enumeration date
05/13/2006
Last updated
11/07/2007
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