Provider Demographics
NPI:1649913658
Name:KRITIKAL KARE LLC
Entity type:Organization
Organization Name:KRITIKAL KARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRATCTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALCOLM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:630-216-9191
Mailing Address - Street 1:4147 CALLERY RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5006
Mailing Address - Country:US
Mailing Address - Phone:630-226-9191
Mailing Address - Fax:630-385-6730
Practice Address - Street 1:4147 CALLERY RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5006
Practice Address - Country:US
Practice Address - Phone:630-226-9191
Practice Address - Fax:630-385-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty