# CONRAD CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONRAD CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508580911
- **Legal business name:** CONRAD CARE INC
- **Authorized official:** NICHOLAS EFOSA AGBONIFO (ADMINISTRATOR)
- **Authorized official phone:** (773) 240-9225

## Contact information

- **Practice address:** 3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
- **Practice address phone:** (131) 220-4725
- **Mailing address:** 3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
- **Mailing address phone:** (131) 220-4725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 11/16/2022