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NPI 1790472355

OrganizationActive

1863fwd Care 2 Care Nfp

NPI 1790472355 · Community/Behavioral Health Agency · Chicago, IL

Provider details

NPI number: 1790472355
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Jataun Rollins, Ceo

Practice location

243 W 95th St

Chicago, IL 60628-1375

Phone: (708) 491-3303

More IL providers

Mailing address

Po Box 717

Glenwood, IL 60425-0717

Registry dates

Enumerated: 2023-04-24
Last updated: 2023-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1863fwd Care 2 Care Nfp — NPI 1790472355, Chicago, IL | NPI Central