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INTEGRACARE NPI 1679842470


NPI Information

NPI: 1679842470
Provider Name: INTEGRACARE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1750 E 87TH ST
SUITE 107
CHICAGO, IL
ZIP 60617
Phone: (773) 734-3890
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INTEGRACARE is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTEGRACARE NPI is 1679842470. The provider is registered as an organization entity type.

The provider's business location address is:

1750 E 87TH ST
SUITE 107
CHICAGO, IL
ZIP 60617-713
Phone: (773) 734-3890

The provider's authorized official is Otuonye Ezeribe Onyewuchi .
The authorized official title is Medical Director and has the following contact phone number (312) 550-2586.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center036118945ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265739643MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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