Provider Demographics
NPI:1386970655
Name:ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC
Entity type:Organization
Organization Name:ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:APOLONIO
Authorized Official - Last Name:MANALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-507-6767
Mailing Address - Street 1:380 E NORTHWEST HWY
Mailing Address - Street 2:SUITE 320F
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2290
Mailing Address - Country:US
Mailing Address - Phone:847-296-9955
Mailing Address - Fax:847-296-9977
Practice Address - Street 1:380 E NORTHWEST HWY
Practice Address - Street 2:SUITE 320F
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2290
Practice Address - Country:US
Practice Address - Phone:847-296-9955
Practice Address - Fax:847-296-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health