Integracare

NPI #1679842470 in Chicago, Illinois

Provider Information

NPI Number: 1679842470
Entity Type: Organization
Organization Name: Integracare
Subpart: Yes (part of a larger organization)
Parent Organization: DOCTORS UNLIMITED SERVICE CORPORATION
Primary Specialty: Clinic/Center
Enumeration Date: Dec 22, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 1750 E 87TH ST
Address 2: SUITE 107
City: Chicago
State: Illinois
ZIP Code: 60617-2713
Phone: (773) 734-3890

Authorized Official

Name: DR. OTUONYE EZERIBE ONYEWUCHI, MD, MPH
Title: MEDICAL DIRECTOR
Phone: (312) 550-2586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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