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Organization
4D CARE ASSIST FOUNDATION
Active
Organization
4D CARE ASSIST FOUNDATION
Active
Other names
4D Care Assist Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ORTH (FINANCIAL DIRECTOR)
(847) 309-4874
Entity
Organization
Contact information
Practice address
401 N MICHIGAN AVE, SUITE 1740, CHICAGO, IL 60611
(224) 633-9472
(630) 857-9069
Mailing address
401 N MICHIGAN AVE, SUITE 1740, CHICAGO, IL 60611
(224) 633-9472
(630) 857-9069
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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