Organization
MOBILE CARE FOUNDATION
Active
Other names
Mobile Care Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA CASTANEDA (OFFICE MANAGER)
(773) 254-4030
Entity
Organization
Contact information
Practice address
239 W ROOT ST, CHICAGO, IL 60609-2848
(773) 254-4030
Mailing address
239 W ROOT ST, CHICAGO, IL 60609-2848
(773) 254-4030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036090394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635798
BCBS
IL
05
—
036090394
—
IL
Enumeration date
11/09/2006
Last updated
02/15/2023
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