Provider Demographics
NPI:1457419772
Name:ARGENTCARE, INC
Entity Type:Organization
Organization Name:ARGENTCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGENTATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-216-0096
Mailing Address - Street 1:3050 S 25TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROADVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60155-4509
Mailing Address - Country:US
Mailing Address - Phone:708-216-0096
Mailing Address - Fax:708-216-0098
Practice Address - Street 1:3050 S 25TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BROADVIEW
Practice Address - State:IL
Practice Address - Zip Code:60155-4509
Practice Address - Country:US
Practice Address - Phone:708-216-0096
Practice Address - Fax:708-216-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid