COMMUNITY CARES CLINIC NPI 1629384607

NPI Information

NPI: 1629384607
Provider Name: COMMUNITY CARES CLINIC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
3100 SYCAMORE RD
SUITE 1024
DEKALB, IL
ZIP 60115
Phone: (815) 752-3253
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COMMUNITY CARES CLINIC is a community health clinic center in Dekalb, IL. COMMUNITY CARES CLINIC NPI is 1629384607. The provider is registered as an organization entity type.

The provider's business location address is:

3100 SYCAMORE RD
SUITE 1024
DEKALB, IL
ZIP 60115-621
Phone: (815) 752-3253

The provider's authorized official is Joe Dant .
The authorized official title is Vice President Business Development and has the following contact phone number (815) 756-1521.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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