Organization
INTEGRACARE
Active
Parent organization
DOCTORS UNLIMITED SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCTORS UNLIMITED SERVICE CORPORATION
Authorized official
DR. OTUONYE EZERIBE ONYEWUCHI MD, MPH (MEDICAL DIRECTOR)
(312) 550-2586
Entity
Organization
Contact information
Practice address
1750 E 87TH ST, SUITE 107, CHICAGO, IL 60617-2713
(773) 734-3890
Mailing address
2731 W POLK ST, SUITE 2, CHICAGO, IL 60612-4033
(773) 722-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036118945
IL
Other
Enumeration date
12/22/2011
Last updated
12/27/2011
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