- Enrollment id
- O20080924000381
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871755405
- Multiple npi flag
- N
- Ccn
- 148077
- Associate id
- 8527135151
- Organization name
- MIDWEST HEALTHCARE PROVIDERS INC.
- Doing business as name
- MIDWEST HEALTHCARE PROVIDERS
- Incorporation date
- 2007-09-07
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5360 FARGO AVE
- Address line 2
- STE 201
- City
- SKOKIE
- State
- IL
- Zip code
- 600773250