Organization
PROFESSIONAL CARE TEAM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DE VERA (PRESIDENT)
(773) 203-4356
Entity
Organization
Contact information
Practice address
855 E GOLF RD, SUITE 2138, ARLINGTON HEIGHTS, IL 60005-5222
(847) 483-8890
(847) 594-4292
Mailing address
855 E GOLF RD, SUITE 2138, ARLINGTON HEIGHTS, IL 60005-5222
(847) 483-8890
(847) 594-4292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011169
IL
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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