National Provider Identifier Database

MEDDOC 40 LLC
Health Service


Contact Information

MEDDOC 40 LLC
5113 S HARPER AVE
CHICAGO, IL60615-4119
Phone: 708-567-1071
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Case Management 251B00000X
Home Health 251E00000X
Home Health Aide 374U00000X
In Home Supportive Care 253Z00000X
Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for MEDDOC 40 LLC

NPI Number 1942016092
Legal business name
LBN
MEDDOC 40 LLC
Authorized official TONESIA ROUSE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/04/2024
Last updated 12/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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