Provider Demographics
NPI:1518306869
Name:APOLLO HEALTH, INC
Entity Type:Organization
Organization Name:APOLLO HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:773-245-3222
Mailing Address - Street 1:3344 W PETERSON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3528
Mailing Address - Country:US
Mailing Address - Phone:773-245-3222
Mailing Address - Fax:773-796-5250
Practice Address - Street 1:3344 W PETERSON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3528
Practice Address - Country:US
Practice Address - Phone:773-245-3222
Practice Address - Fax:773-796-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007535251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health