Provider Demographics
NPI:1538324702
Name:APOLLO HOME CARE INC.
Entity Type:Organization
Organization Name:APOLLO HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-541-8238
Mailing Address - Street 1:3030 FINLEY ROAD, SUITE #140
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1179
Mailing Address - Country:US
Mailing Address - Phone:630-541-8238
Mailing Address - Fax:630-541-8790
Practice Address - Street 1:3030 FINLEY ROAD, SUITE #140
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1179
Practice Address - Country:US
Practice Address - Phone:630-541-8238
Practice Address - Fax:630-541-8790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-27
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010901251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health