DIGITRACE CARE SERVICES, INC (NPI# 1053323857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053323857 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES, INC |
| Practice Address |
2623 N Clark St Chicago IL 60614-1524 |
| Mailing Address |
200 Corporate Pl Suite 5b Peabody MA 01960-3840 |
| Practice Telephone | 8479667366 |
| Practice Fax Number | 8479667316 |
| Mailing Telephone | 9785367400 |
| Mailing Fax Number | 9785359757 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. CARL R. IBERGER (EVP-CFO) |
| Authorized Official Telephone | 9785367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | FEDERAL BCIL | 01619296 | 01 |
| IL | CIGNA | 8011510 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851659494 | Digitrace Care Services, Inc | Clinic/Center | 9610 Deereco Rd, Timonium, MD 21093-2120 | 2012-05-02 |
| 1821245309 | Digitrace Care Services, Inc | Clinic/Center | 332 Pleasant St, Northampton, MA 01060 | 2008-08-26 |
| 1497887236 | Digitrace Care Services, Inc | Clinic/Center | 332 Pleasant Street, Northampton, MA 01060 | 2007-03-09 |
| 1487665402 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 386 N York St Ste 207, Elmhurst, IL 60126-2367 | 2006-08-11 |
| 1093745747 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 2060 N Valley Mills Dr, Waco, TX 76710-2561 | 2006-07-04 |
| 1497797096 | Digitrace Care Services, Inc | Clinic/Center | 1010 Gar Hwy, 1st Floor Unit 2, Swansea, MA 02777-4566 | 2006-06-11 |
| 1902053481 | Digitrace Care Services, Inc | Clinic/Center | 1010 Gar Hwy, Unit 2, 1st Floor, Swansea, MA 02777 | 2008-08-26 |
| 1003063587 | Digitrace Care Services, Inc | Clinic/Center | 270 Communication Way, Suite 4b, Hyannis, MA 02601 | 2008-08-26 |
| 1255538195 | Digitrace Care Services, Inc | Clinic/Center | 2501 W Silver Spring Dr, Suite 5, Glendale, WI 53209-4217 | 2007-07-02 |
| 1851597512 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Pkwy, Suite 109, Chesapeake, VA 23320-4911 | 2007-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| New York State Corporations | DIGITRACE CARE SERVICES, INC. | 80 State Street, Albany, Ny 122072543 |
| Massachusetts Corporations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| Street Address |
2623 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689781940 | Sleep Centers of America Inc | Clinic/Center | 5962 N Lincoln Ave Ste 1, Chicago, IL 60659-3711 | 2006-08-24 |
| 1881707891 | Home Sleep Diagnostics | Clinic/Center | 2522 W Peterson Ave, Chicago, IL 60659-4109 | 2006-08-16 |
| 1952791220 | Chicago Lipo Laser, LLC | Clinic/Center | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2015-01-26 |
| 1316382336 | Chc Sleep Solutions LLC | Clinic/Center | 5440 N Cumberland Ave, Suite 225, Chicago, IL 60656-1490 | 2013-05-03 |
| 1740553999 | Snoring Center of Illinois, S.c. | Clinic/Center | 875 N Dearborn St, Suite 400, Chicago, IL 60610-7377 | 2012-02-20 |
| 1801194279 | Sound Sleep | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2011-03-08 |
| 1700194180 | Elston Management Corporation | Clinic/Center | 4592 N Elston Ave, Chicago, IL 60630-4215 | 2010-09-19 |
| 1265750293 | Better Sunrise Corporation | Clinic/Center | 2650 W Montrose Ave, Suite 207, Chicago, IL 60618-1560 | 2010-05-14 |
| 1477793073 | Cardio Pulmonary Associates Inc | Clinic/Center | 2923 N Milwaukee Ave, Chicago, IL 60618-7404 | 2009-02-23 |
| 1043459662 | Res-health Sleep Care Center of Chicago Northwest, LLC | Clinic/Center | 7447 W Talcott Ave, Suite 127, Chicago, IL 60631-3745 | 2009-02-05 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.