Provider Demographics
NPI:1245636554
Name:ABBA CARE PROVIDERS, INC
Entity type:Organization
Organization Name:ABBA CARE PROVIDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:N
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:PARTNER
Authorized Official - Phone:312-860-3509
Mailing Address - Street 1:700 COMMERCE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1546
Mailing Address - Country:US
Mailing Address - Phone:312-860-3509
Mailing Address - Fax:
Practice Address - Street 1:700 COMMERCE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1546
Practice Address - Country:US
Practice Address - Phone:312-860-3509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABAYOMI IBRAHIM & COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care