NPI 1942649421 · live from the CMS NPI Registry
1 Care INC.
General Practice in Chicago, IL. National Provider Identifier 1942649421, active.
NPI record
| NPI | 1942649421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 4800 S Chicago Beach Dr, Suite 901n, Chicago, IL 60615 |
| Practice phone | 773-251-4625 |
| Enumerated | June 18, 2013 |
| Last updated | June 18, 2013 |
| Authorized official | Merlin Kelsick, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Social Worker | 104100000X | — |
| Family Medicine | 207Q00000X | — |
| Family Medicine, Addiction Medicine | 207QA0401X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Pediatrics | 208000000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Preventive Medicine, Occupational Medicine | 2083X0100X | — |
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | — |
| Surgery | 208600000X | — |
| 2086S0129X | — | |
| Colon & Rectal Surgery | 208C00000X | — |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.