Organization · NPI-2

1adem Homecare Illinois INC.

In Home Supportive Care · Chicago, IL

NPI number1679284129
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1679284129
Entity type
Organization (NPI-2)
Legal business name
1adem Homecare Illinois INC.
Organization subpart
No
Enumeration date
Dec 6, 2022
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

5504 S Michigan Ave Apt 316
Chicago, IL 60637-1794

Phone 773-640-9020

Mailing address

5504 S Michigan Ave Apt 316
Chicago, IL 60637-1794

Phone 773-640-9020

Authorized official

Matisha Lake
Owner/Treasurer
7736409020

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