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Great Lakes Healthcare, Llc.
Home Health Agency in Chicago, Illinois
NPI 1902964802

Great Lakes Healthcare, Llc. is a Home Health Agency based in Chicago, IL. Great Lakes Healthcare, Llc. practices in Chicago, IL. The NPI Number for Great Lakes Healthcare, Llc. is 1902964802 and holds a License No. (Illinois).

The current practice location address for Great Lakes Healthcare, Llc. is 900 N Kingsbury St, Chicago, IL and can be reached out via phone at 312-222-0646 and via fax at 312-222-0647.

Location: 900 N Kingsbury St, Chicago, IL, 60610-7432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902964802
Provider Name
Great Lakes Healthcare, Llc.
Credential
Provider Entity Type
Organization
Address
900 N Kingsbury St, Chicago, IL, 60610-7432
Phone Number
312-222-0646
Fax Number
312-222-0647
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
900 N Kingsbury St
City
Chicago
State
Illinois
Zip
60610-7432
Phone Number
312-222-0646
Fax Number
312-222-0647
person
Provider Business Mailing Address Details
Address
900 N Kingsbury St
City
Chicago
State
Illinois
Zip
60610-7432
Phone Number
312-222-0646
Fax Number
312-222-0647
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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