# MEDCARE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003235979
- **Authorized official:** DR. BEA KABBANI DPT (ADMINISTRATOR)
- **Authorized official phone:** (847) 724-7600

## Contact information

- **Practice address:** 1873 WAUKEGAN RD, GLENVIEW, IL 60025-2158
- **Practice address phone:** (847) 724-7600
- **Practice address fax:** (847) 724-7693
- **Mailing address:** 1873 WAUKEGAN RD, GLENVIEW, IL 60025-2158
- **Mailing address phone:** (847) 724-7600
- **Mailing address fax:** (847) 724-7693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0070006734 | IL | — |
| 225X00000X | Occupational Therapist | 0056000758 | IL | — |
| 235Z00000X | Speech-Language Pathologist | 146009200 | IL | — |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/08/2014
- **Last updated:** 04/08/2014