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Organization

CONRAD CARE INC

Active
Parent organization
CONRAD CARE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONRAD CARE INC
Authorized official
NICHOLAS EFOSA AGBONIFO (ADMINISTRATOR)
(773) 240-9225
Entity
Organization

Contact information

Practice address
3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
(131) 220-4725
Mailing address
3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
(131) 220-4725

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/29/2022
Last updated
11/16/2022
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