# ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology Consults and Care Service Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366843682
- **Authorized official:** DR. SUSAN SHAPIRO BRAITHWAITE M.D. (PRESIDENT)
- **Authorized official phone:** (847) 906-4910

## Contact information

- **Practice address:** 3048 W PETERSON AVE, CHICAGO, IL 60659-3720
- **Practice address phone:** (773) 381-0517
- **Practice address fax:** (773) 381-0617
- **Mailing address:** 1135 RIDGE RD, WILMETTE, IL 60091-1567
- **Mailing address phone:** (847) 906-4910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 03/01/2016