Provider Demographics
NPI:1225283237
Name:ABCARE CLINICS & SERVICES, LTD
Entity Type:Organization
Organization Name:ABCARE CLINICS & SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRZEJ
Authorized Official - Middle Name:
Authorized Official - Last Name:DZIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-255-5489
Mailing Address - Street 1:706 PINTAIL CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3645
Mailing Address - Country:US
Mailing Address - Phone:773-631-4849
Mailing Address - Fax:847-537-7473
Practice Address - Street 1:6211 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3730
Practice Address - Country:US
Practice Address - Phone:773-631-4849
Practice Address - Fax:773-631-4839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABCARE CLINICS & SERVICES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-19
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-006980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
04932288OtherBCBS
04932288OtherBCBS