Provider Demographics
NPI:1114599099
Name:CAPITAL CARE
Entity Type:Organization
Organization Name:CAPITAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-344-2742
Mailing Address - Street 1:528 ROCK SPRING CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-5344
Mailing Address - Country:US
Mailing Address - Phone:630-344-2742
Mailing Address - Fax:630-410-2630
Practice Address - Street 1:235 REMINGTON BLVD STE L
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3687
Practice Address - Country:US
Practice Address - Phone:630-344-2742
Practice Address - Fax:630-410-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty