# INTEGRACARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DOCTORS UNLIMITED SERVICE CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679842470
- **Legal business name:** DOCTORS UNLIMITED SERVICE CORPORATION
- **Authorized official:** DR. OTUONYE EZERIBE ONYEWUCHI MD, MPH (MEDICAL DIRECTOR)
- **Authorized official phone:** (312) 550-2586

## Contact information

- **Practice address:** 1750 E 87TH ST, SUITE 107, CHICAGO, IL 60617-2713
- **Practice address phone:** (773) 734-3890
- **Mailing address:** 2731 W POLK ST, SUITE 2, CHICAGO, IL 60612-4033
- **Mailing address phone:** (773) 722-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036118945 | IL | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 12/27/2011
