Organization
4D CARE ASSIST FOUNDATION
Active
Other names
4D Care Assist Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ORTH (FINANCIAL DIRECTOR)
(847) 309-4874
Entity
Organization
Contact information
Practice address
401 N MICHIGAN AVE, SUITE 1740, CHICAGO, IL 60611
(224) 633-9472
(630) 857-9069
Mailing address
401 N MICHIGAN AVE, SUITE 1740, CHICAGO, IL 60611
(224) 633-9472
(630) 857-9069
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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