| Organization Name: | PROFESSIONAL ANGEL CARE, LTD. |
| NPI Number: | 1003210295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANOLITO DEL ROSARIO GAWAT (PRESIDENT/OWNER) |
| Mailing Address: | 3525 W. Peterson Avenue Suite 222 Chicago |
| State: | IL US |
| Postal Code: | 606593314 |
| Phone Number: | 7739078991 |
| Fax Number: | 7739078992 |
| NPI Enumeration Date: | 10/16/2014 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 3000440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |