Provider Demographics
NPI:1366733107
Name:IMS PROFESSIONAL HOME CARE, INC.
Entity type:Organization
Organization Name:IMS PROFESSIONAL HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MACARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-824-7870
Mailing Address - Street 1:2700 S RIVER RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4101
Mailing Address - Country:US
Mailing Address - Phone:847-824-7870
Mailing Address - Fax:847-824-7871
Practice Address - Street 1:2700 S RIVER RD
Practice Address - Street 2:SUITE 107
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4101
Practice Address - Country:US
Practice Address - Phone:847-824-7870
Practice Address - Fax:847-824-7871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000714253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care