Provider Demographics
NPI:1942526850
Name:DCARE INCORPORATED
Entity Type:Organization
Organization Name:DCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-995-3022
Mailing Address - Street 1:134 W 111TH ST # 206
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-4215
Mailing Address - Country:US
Mailing Address - Phone:773-995-3022
Mailing Address - Fax:
Practice Address - Street 1:134 W 111TH ST # 206
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-4215
Practice Address - Country:US
Practice Address - Phone:773-995-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty