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Organization

SHAH-NI-4 INC.

Active
Other names
Prime Careline Home Care Agency
Organization subpart
No

Provider details

NPI number
Authorized official
RAQIB SHAHZAD (MANAGING DIRECTOR)
(224) 251-8432
Entity
Organization

Contact information

Practice address
125 FAIRFIELD WAY STE 104, BLOOMINGDALE, IL 60108-1556
(224) 251-8432
(224) 251-8319
Mailing address
8605 N SHERMER RD, NILES, IL 60714-2140
(224) 251-8432
(224) 251-8319

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
376J00000X
Homemaker
Primary
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2309759
IL
Enumeration date
02/14/2025
Last updated
02/14/2025
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