Organization
1 CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERLIN KELSICK (PRESIDENT)
(773) 251-4625
Entity
Organization
Contact information
Practice address
4800 S CHICAGO BEACH DR, SUITE 901N, CHICAGO, IL 60615-7032
(773) 251-4625
(773) 289-0888
Mailing address
4800 S CHICAGO BEACH DR, SUITE 901N, CHICAGO, IL 60615-7032
(773) 251-4625
(773) 289-0888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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