Organization
GREAT LAKES HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE TONG (PRESIDENT)
(312) 832-1844
Entity
Organization
Contact information
Practice address
900 N KINGSBURY ST, SUITE 1055, CHICAGO, IL 60610-7432
(312) 222-0646
(312) 222-0647
Mailing address
900 N KINGSBURY ST, SUITE 1055, CHICAGO, IL 60610-7432
(312) 222-0646
(312) 222-0647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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