# COMMUNITY CARES CLINIC

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

## Provider details

- **NPI number:** 1629384607
- **Authorized official:** JOE DANT (VICE PRESIDENT BUSINESS DEVELOPMENT)
- **Authorized official phone:** (815) 756-1521

## Contact information

- **Practice address:** 3100 SYCAMORE RD, SUITE 1024, DEKALB, IL 60115-9621
- **Practice address phone:** (815) 752-3253
- **Mailing address:** 3100 SYCAMORE RD, SUITE 1024, DEKALB, IL 60115-9621
- **Mailing address phone:** (815) 752-3253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 08/27/2010