Provider Demographics
NPI:1750314837
Name:PREFERRED HEALTH CARE LTD
Entity Type:Organization
Organization Name:PREFERRED HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUEDA-SADURAL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:630-295-9802
Mailing Address - Street 1:947 HAWTHORN DRIVE
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2056
Mailing Address - Country:US
Mailing Address - Phone:630-295-9802
Mailing Address - Fax:630-295-5947
Practice Address - Street 1:947 HAWTHORN DRIVE
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2056
Practice Address - Country:US
Practice Address - Phone:630-295-9802
Practice Address - Fax:630-295-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010239251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147750Medicare Oscar/Certification