# DIGITRACE CARE SERVICES, INC

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

## Provider details

- **NPI number:** 1437161163
- **Authorized official:** MR. JOSEPH ROSE (VP OF FINANCE & ADMINISTRATION)
- **Authorized official phone:** (978) 536-7400

## Contact information

- **Practice address:** 4710 W 95TH ST, SUITE A6, OAK LAWN, IL 60453-2546
- **Practice address phone:** (708) 423-4693
- **Practice address fax:** (708) 423-5279
- **Mailing address:** 200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
- **Mailing address phone:** (978) 536-7400
- **Mailing address fax:** (978) 535-9757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 05/17/2016