Provider Demographics
NPI:1568779544
Name:ANGELS HOMECARE AND MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:ANGELS HOMECARE AND MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ILOEGBUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-716-8911
Mailing Address - Street 1:1750 E 87TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2713
Mailing Address - Country:US
Mailing Address - Phone:773-716-8911
Mailing Address - Fax:773-221-4565
Practice Address - Street 1:1750 E 87TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2713
Practice Address - Country:US
Practice Address - Phone:773-716-8911
Practice Address - Fax:773-221-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health