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Contact Information

CENTERWELL CERTIFIED HEALTHCARE CORP.
2211 YORK RD STE 215
OAK BROOK, IL60523
 Phone: 708-442-6420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CENTERWELL CERTIFIED HEALTHCARE CORP.

NPI Number 1659380095
LBN Legal business name CENTERWELL CERTIFIED HEALTHCARE CORP.
Authorized official JOHN NICHOLS - (AUTHORIZED SIGNATORY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 12/22/2023 - About 2 years ago
Identifiers
IL License # 1010900
IL Medicaid 001010187
Other HH9554 BCBS
Other 10018129 COMMERCIAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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