Organization
HOME CARE PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE P PORTOKALIS (CEO)
(773) 267-5123
Entity
Organization
Contact information
Practice address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 267-5123
(872) 806-2867
Mailing address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 267-5123
(872) 806-2867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203-00692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621579
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/22/2005
Last updated
11/19/2018
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