Organization
CONRAD CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS EFOSA AGBONIFO MD (ADMINISTRATOR)
(773) 240-9225
Entity
Organization
Contact information
Practice address
3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
(312) 204-7255
(872) 228-8606
Mailing address
3525 W PETERSON AVE STE 505, CHICAGO, IL 60659-3317
(312) 204-7255
(872) 228-8606
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
04/30/2025
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