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Organization
CONRAD CARE INCORPORATED
Active
Organization
CONRAD CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS AGBONIFO (ADMINISTRATOR)
(773) 240-9225
Entity
Organization
Contact information
Practice address
3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
(773) 240-9225
Mailing address
23 STIRLING LN APT 1822, WILLOWBROOK, IL 60527-3181
(773) 240-9225
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
01/04/2022
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