Provider Demographics
NPI:1891112017
Name:ICARE THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:ICARE THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LALITHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-291-0585
Mailing Address - Street 1:17838 HARPER RD
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-2139
Mailing Address - Country:US
Mailing Address - Phone:708-291-0585
Mailing Address - Fax:815-550-8703
Practice Address - Street 1:17838 HARPER RD
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-2139
Practice Address - Country:US
Practice Address - Phone:708-291-0585
Practice Address - Fax:815-550-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty