Provider Demographics
NPI:1659710119
Name:COOK COUNTER CENTER OF HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COOK COUNTER CENTER OF HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-776-7549
Mailing Address - Street 1:240 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2890
Mailing Address - Country:US
Mailing Address - Phone:630-776-7549
Mailing Address - Fax:630-580-9030
Practice Address - Street 1:240 E LAKE ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2890
Practice Address - Country:US
Practice Address - Phone:630-776-7549
Practice Address - Fax:630-580-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health