# BRIDGE TO CARE

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

## Provider details

- **NPI number:** 1104419753
- **Authorized official:** DESIREE CUNNINGHAM NP (NURSE PRACITITIONER)
- **Authorized official phone:** (773) 616-5330

## Contact information

- **Practice address:** 3300 CRAIN ST, SKOKIE, IL 60076-2408
- **Practice address phone:** (773) 616-5330
- **Mailing address:** 3300 CRAIN ST, SKOKIE, IL 60076-2408
- **Mailing address phone:** (773) 616-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2021
- **Last updated:** 11/02/2021