Organization
CARE CENTERS HEALTH SYSTEMS LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YISHAI BRONER (MANAGER)
(224) 612-5680
Entity
Organization
Contact information
Practice address
200 HOWARD AVE, SUITE 250, DES PLAINES, IL 60018-5906
(224) 612-5662
(224) 612-5862
Mailing address
200 HOWARD AVE, STE 250, DES PLAINES, IL 60018-5909
(224) 612-5662
(224) 612-5862
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
203.00378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625203
BCBS
IL
01
—
0241503
ANTHEM BCBS
KY
05
—
200199080A
—
IN
05
—
2211681
—
OH
05
—
363874609001
—
IL
Enumeration date
07/31/2006
Last updated
09/25/2009
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