Provider Demographics
NPI:1285923953
Name:PARAMOUNT HOME HEALTH CARE AND REHAB OF ILLINOIS, LLC
Entity type:Organization
Organization Name:PARAMOUNT HOME HEALTH CARE AND REHAB OF ILLINOIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUIRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-698-2680
Mailing Address - Street 1:1450 AMERICAN LN
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4989
Mailing Address - Country:US
Mailing Address - Phone:224-698-2680
Mailing Address - Fax:
Practice Address - Street 1:1450 AMERICAN LN
Practice Address - Street 2:SUITE 1400
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4989
Practice Address - Country:US
Practice Address - Phone:224-698-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health