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Organization
BLUE CARDINAL LLC
Active
Organization
BLUE CARDINAL LLC
Active
Other names
Blue Cardinal Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CAMACHO (OWNER)
(773) 459-1465
Entity
Organization
Contact information
Practice address
8455 S SEELEY AVE, CHICAGO, IL 60620-6035
(773) 459-1465
Mailing address
8455 S SEELEY AVE, CHICAGO, IL 60620-6035
(773) 459-1465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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