| Organization Name: | INTEGRATED HOMECARE SERVICES CHICAGO CORPORATION |
| NPI Number: | 1114029345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY CLARKE (SECRETARY/TREASURER) |
| Mailing Address: | 480 Lake St Suite C Roselle |
| State: | IL US |
| Postal Code: | 601723581 |
| Phone Number: | 6305820202 |
| Fax Number: | 6305823787 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203000550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |