Provider Demographics
NPI:1760711956
Name:ACCESS LIFE CARE, LTD.
Entity Type:Organization
Organization Name:ACCESS LIFE CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WLODARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:773-777-9871
Mailing Address - Street 1:4005 N NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-1428
Mailing Address - Country:US
Mailing Address - Phone:773-777-9871
Mailing Address - Fax:
Practice Address - Street 1:4005 N NASHVILLE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-1428
Practice Address - Country:US
Practice Address - Phone:773-777-9871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010899251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health