Provider Demographics
NPI:1497408371
Name:CARE MEDICAL GROUP INC
Entity Type:Organization
Organization Name:CARE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED RIHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAMED RIFAI
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:833-363-3522
Mailing Address - Street 1:3300 W LAWRNCE AVE STE 1W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-5203
Mailing Address - Country:US
Mailing Address - Phone:833-363-3522
Mailing Address - Fax:
Practice Address - Street 1:3300 W LAWRNCE AVE STE 1W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-5203
Practice Address - Country:US
Practice Address - Phone:833-363-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Single Specialty
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Single Specialty