Provider Demographics
NPI:1114324381
Name:DIRECT CARE OF CHICAGO INC
Entity Type:Organization
Organization Name:DIRECT CARE OF CHICAGO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERANUNZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-655-2690
Mailing Address - Street 1:411 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3231
Mailing Address - Country:US
Mailing Address - Phone:630-655-2690
Mailing Address - Fax:
Practice Address - Street 1:411 W NORTH ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3231
Practice Address - Country:US
Practice Address - Phone:630-655-2690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health