Provider Demographics
NPI:1386925212
Name:ASSURED HEALTHCARE LLC
Entity type:Organization
Organization Name:ASSURED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:HAMMERLUND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-775-7445
Mailing Address - Street 1:495 N RIVERSIDE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5908
Mailing Address - Country:US
Mailing Address - Phone:847-775-7445
Mailing Address - Fax:847-775-7446
Practice Address - Street 1:495 N RIVERSIDE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5908
Practice Address - Country:US
Practice Address - Phone:847-775-7445
Practice Address - Fax:847-775-7446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2022847251J00000X
IL2011-N1051253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care