Organization
OMNIPOTENT CARE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON DONOVAN MCKENZIE DSC (OWNER ADMINISTRATOR)
(312) 388-1131
Entity
Organization
Contact information
Practice address
10542 S EGGLESTON AVE, CHICAGO, IL 60628-2426
(312) 388-1131
(708) 529-3823
Mailing address
10542 S EGGLESTON AVE, CHICAGO, IL 60628-2426
(312) 388-1131
(708) 529-3823
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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