Organization
TAKECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA SULLIVAN APN (MARKET MANAGER)
(224) 500-7627
Entity
Organization
Contact information
Practice address
305 W ROLLINS RD, ROUND LAKE BEACH, IL 60073-1217
(224) 338-3567
(847) 546-3089
Mailing address
305 W ROLLINS RD, ROUND LAKE BEACH, IL 60073-1217
(224) 338-3567
(847) 546-3089
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
209008821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720373731
—
IL
Enumeration date
03/30/2015
Last updated
03/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up