Organization
PLATINUM HOME HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANILA SIDDIQUE MD (PRESIDENT)
(847) 673-5491
Entity
Organization
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 114, LINCOLNWOOD, IL 60712-1709
(847) 673-5491
(847) 673-8187
Mailing address
7301 N LINCOLN AVE, SUITE 114, LINCOLNWOOD, IL 60712-1709
(847) 673-5491
(847) 673-8187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011006
IDPH
IL
Enumeration date
08/10/2007
Last updated
07/30/2008
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