Organization
MG CARE, INC.
Active
Other names
Synergy HomeCare of DuPage County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J. GOULD (PRESIDENT)
(630) 517-0068
Entity
Organization
Contact information
Practice address
799 ROOSEVELT RD, BUILDING 4 SUITE 105, GLEN ELLYN, IL 60137-5908
(630) 517-0068
(630) 517-0069
Mailing address
799 ROOSEVELT RD, BUILDING 4 SUITE 105, GLEN ELLYN, IL 60137-5908
(630) 517-0068
(630) 517-0069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HF100045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HF100045
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
06/12/2012
Last updated
06/12/2012
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