Provider Demographics
NPI:1972834935
Name:ILLINOIS QUALITY HOME HEALTH CARE
Entity Type:Organization
Organization Name:ILLINOIS QUALITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL LABORATORY TECHNOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VARSHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:BS (MICROBIOLOGY)
Authorized Official - Phone:847-924-1754
Mailing Address - Street 1:9237 TWIN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4223
Mailing Address - Country:US
Mailing Address - Phone:847-924-1754
Mailing Address - Fax:
Practice Address - Street 1:9237 TWIN OAKS LN
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4223
Practice Address - Country:US
Practice Address - Phone:847-924-1754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care