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Organization

BRIDGECARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEMALI SHAH (CEO)
(224) 803-2273
Entity
Organization

Contact information

Practice address
2250 E DEVON AVE, SUITE 333, DES PLAINES, IL 60018-4511
(224) 803-2273
(224) 803-2274
Mailing address
2250 E DEVON AVE, SUITE 333, DES PLAINES, IL 60018-4511
(224) 803-2273
(224) 803-2274

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
IL
363A00000X
Physician Assistant
IL
363L00000X
Nurse Practitioner
IL

Other

Enumeration date
12/23/2014
Last updated
03/11/2015
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