Organization · NPI-2

4d Care Assist Foundation

Clinic/Center · Chicago, IL

NPI number1144803438
StatusActive
Last updated in NPPESMay 4, 2021

Details

NPI
1144803438
Entity type
Organization (NPI-2)
Legal business name
4d Care Assist Foundation
Organization subpart
No
Enumeration date
May 4, 2021
Certification date
May 4, 2021
Last updated
May 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
171M00000X Case Manager/Care Coordinator––

Other names

  • 4d Care Assist Foundation (Doing Business As)

Practice location

401 N Michigan Ave, Suite 1740
Chicago, IL 60611

Phone 224-633-9472 · Fax 630-857-9069

Mailing address

401 N Michigan Ave, Suite 1740
Chicago, IL 60611

Phone 224-633-9472 · Fax 630-857-9069

Authorized official

Nikki Orth
Financial Director
8473094874

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