Provider Demographics
NPI:1407162647
Name:UNIFAM CARE INC
Entity Type:Organization
Organization Name:UNIFAM CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:CATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-799-9067
Mailing Address - Street 1:7144 N HARLEM AVE
Mailing Address - Street 2:SUITE 1303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7144 N HARLEM AVE
Practice Address - Street 2:SUITE 1303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1005
Practice Address - Country:US
Practice Address - Phone:312-799-9067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036064170207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty