INTEGRACARE (NPI# 1679842470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679842470 |
| Entity Type | Organization |
| Organization Name | INTEGRACARE |
| Practice Address |
1750 E 87th St Suite 107 Chicago IL 60617-2713 |
| Mailing Address |
2731 W Polk St Suite 2 Chicago IL 60612-4033 |
| Practice Telephone | 7737343890 |
| Mailing Telephone | 7737227000 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | DR. OTUONYE EZERIBE ONYEWUCHI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3125502586 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | DOCTORS UNLIMITED SERVICE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 036118945 | IL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | IntegraCare Holdings, Inc | 680 South Fourth Street, Louisville, KY 40202 |
| Washington State Corporations | INTEGRACARE INC. | 2920 Harrison Ave Nw Ste A, Olympia, WA 98502-2609 |
| Washington State Corporations | INTEGRACARE LLC | 6502 Trentland Park Dr., Aberdeen, WA 98520 |
| Colorado Business Entities | Integracare, LLC | 56 Edwards Village Blv, Suite 208, Edwards, CO 81632 |
| Street Address |
1750 E 87TH ST SUITE 107 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114009222 | Access Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1750 E 87th St, Suite 100, Chicago, IL 60617-2713 | 2006-10-19 |
| 1265739643 | Doctors Unlimited Service Corporation | Internal Medicine | 1750 E 87th St, Suite 109, Chicago, IL 60617-2713 | 2011-02-19 |
| 1568779544 | Angels Homecare and Medical Services Inc. | Home Health | 1750 E 87th St, Suite 100, Chicago, IL 60617-2713 | 2010-09-11 |
| 1801078365 | John A Stafford | Chiropractor | 1750 E 87th St, Chicago, IL 60617 | 2007-11-27 |
| 1477741304 | Okwuje Medical Service Corporation | Obstetrics & Gynecology | 1750 E 87th St, Suite 103, Chicago, IL 60617-2713 | 2007-10-04 |
| 1538354295 | Otuonye E Onyewuchi | Emergency Medicine | 1750 E 87th St, Suite 109, Chicago, IL 60617-2713 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| 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.