Organization
DIRECTMED HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE ALVARADO (ADMIN, ASST)
(312) 642-5500
Entity
Organization
Contact information
Practice address
2600 S. MICHIGAN AVE, STE. 303, CHICAGO, IL 60616
(312) 642-5500
(312) 642-5501
Mailing address
2600 S. MICHIGAN AVE, STE. 303, CHICAGO, IL 60616
(312) 642-5500
(312) 642-5501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635410
BLUE CROSS BLUE SHIELD
IL
05
—
75317990001
—
IL
Enumeration date
08/16/2006
Last updated
06/21/2018
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