Provider Demographics
NPI:1538480231
Name:ILLINOIS HOME HEALTH SERVICES ,INC
Entity Type:Organization
Organization Name:ILLINOIS HOME HEALTH SERVICES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:LONDRES
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-355-4134
Mailing Address - Street 1:2640 W TOUHY AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3198
Mailing Address - Country:US
Mailing Address - Phone:773-355-4134
Mailing Address - Fax:773-338-6490
Practice Address - Street 1:2640 W TOUHY AVE STE 204
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3198
Practice Address - Country:US
Practice Address - Phone:773-355-4134
Practice Address - Fax:773-338-6490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011351251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health