Provider Demographics
NPI:1083851109
Name:ALAQOL LLC
Entity Type:Organization
Organization Name:ALAQOL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN DC
Authorized Official - Phone:708-798-5625
Mailing Address - Street 1:2060 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1780
Mailing Address - Country:US
Mailing Address - Phone:708-798-5625
Mailing Address - Fax:708-798-6025
Practice Address - Street 1:2060 RIDGE RD
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1780
Practice Address - Country:US
Practice Address - Phone:708-798-5625
Practice Address - Fax:708-798-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-261941251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health