Organization
MID-CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA A. CORDERO R.N. (ADMINSTRATOR)
(773) 202-0195
Entity
Organization
Contact information
Practice address
4006 W ADDISON ST, CHICAGO, IL 60641-3905
(773) 202-0195
(773) 202-0197
Mailing address
4006 W ADDISON ST, CHICAGO, IL 60641-3905
(773) 202-0195
(773) 202-0197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010552
IL
Other
Enumeration date
06/30/2006
Last updated
08/06/2007
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