Organization Name: | IGOCARE, INC |
NPI Number: | 1609293653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER ANN LANTRY (GENERAL MANAGER, OWNER) |
Mailing Address: | 6352 N Lincoln Ave 2nd Floor Chicago |
State: | IL US |
Postal Code: | 606591213 |
Phone Number: | 7737754677 |
Fax Number: | 7737754687 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3001019 |
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 |