Organization
IMMUNOCARE CONSULTING LLC
Active
Organization
IMMUNOCARE CONSULTING LLC
Active
Other names
ImmunoCare Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTEL SHANTAZE WARDEN APRN-FPA, FNP-C (OWNER)
(815) 457-7889
Entity
Organization
Contact information
Practice address
980 N MICHIGAN AVE STE 438825, CHICAGO, IL 60611-4501
(815) 457-7889
(815) 846-8674
Mailing address
7600 VIOLET LN, JOLIET, IL 60431-7891
(815) 457-7889
(844) 749-3652
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
08/04/2026
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