Organization
AMBULATORY HEALTH CARE SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOVITA FUENTES RN (CEO)
(847) 470-5450
Entity
Organization
Contact information
Practice address
7660 GROSS POINT RD, SKOKIE, IL 60077-2613
(847) 470-5450
(847) 470-5485
Mailing address
7660 GROSS POINT RD, SKOKIE, IL 60077-2613
(847) 470-5450
(847) 470-5485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1008796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5027
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/22/2007
Last updated
08/22/2020
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