Provider Demographics
NPI:1245207380
Name:ADVOCATE HOME CARE PRODUCTS INC
Entity Type:Organization
Organization Name:ADVOCATE HOME CARE PRODUCTS INC
Other - Org Name:ADVOCATE HOME CARE PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COMMET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-963-3200
Mailing Address - Street 1:28511 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1285
Mailing Address - Country:US
Mailing Address - Phone:630-572-5999
Mailing Address - Fax:630-368-5944
Practice Address - Street 1:1441 BRANDING AVE
Practice Address - Street 2:STE 130
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1160
Practice Address - Country:US
Practice Address - Phone:630-963-3200
Practice Address - Fax:630-829-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540098343336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117563OtherPK
IL=========004Medicaid
IL=========004Medicaid