Organization
GOODWILL HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE N MBAOCHA (ADMINISTRATOR)
(708) 612-5628
Entity
Organization
Contact information
Practice address
9942 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 779-8556
(773) 779-8660
Mailing address
9942 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 779-8556
(773) 779-8660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010491
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001010491
—
IL
Enumeration date
01/15/2007
Last updated
11/16/2023
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