- Enrollment id
- O20101110001205
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043536642
- Multiple npi flag
- N
- Ccn
- 148233
- Associate id
- 7810182268
- Organization name
- MEDI LINK HEALTH SERVICES, LLC
- Incorporation date
- 2010-02-24
- Incorporation state
- IL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1701 E WOODFIELD RD
- Address line 2
- STE 835
- City
- SCHAUMBURG
- State
- IL
- Zip code
- 601735208