Lifeline Health Care, INC.
Home Health in Chicago, IL. Organization (NPI-2).
NPI number1619003696
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619003696
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline Health Care, INC.
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 1010427 | IL | Yes |
Practice location
5555 N Sheridan RdSuite 024
Chicago, IL 60640-1601
Phone 773-271-4115
Mailing address
5555 N Sheridan RdSuite 024
Chicago, IL 60640-1601
Phone 773-271-4115
Authorized official
Jonie Josephine Desuyo
Administrator
7732714115
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