Provider Demographics
NPI:1750716312
Name:POST ACUTE CARE SPECIALISTS SC
Entity type:Organization
Organization Name:POST ACUTE CARE SPECIALISTS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-200-6615
Mailing Address - Street 1:8790 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1603
Mailing Address - Country:US
Mailing Address - Phone:708-200-6615
Mailing Address - Fax:708-598-3304
Practice Address - Street 1:8790 W 103RD ST
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1603
Practice Address - Country:US
Practice Address - Phone:708-200-6615
Practice Address - Fax:708-598-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110790207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036110790Medicaid
IL036110790Medicaid