Provider Demographics
NPI:1346466208
Name:COREBELL HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COREBELL HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-845-2672
Mailing Address - Street 1:7161 N CICERO AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-2140
Mailing Address - Country:US
Mailing Address - Phone:630-845-2672
Mailing Address - Fax:630-845-2652
Practice Address - Street 1:7161 N CICERO AVE STE 212
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-2140
Practice Address - Country:US
Practice Address - Phone:630-845-2672
Practice Address - Fax:630-845-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010719251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health