Healthcare Provider Details

I. General information

NPI: 1699846931
Provider Name (Legal Business Name): ATLAS HEALTHCARE MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 BURNHAM AVE STE 1
CALUMET CITY IL
60409-6199
US

IV. Provider business mailing address

1027 CLINTON ST
OTTAWA IL
61350-2039
US

V. Phone/Fax

Practice location:
  • Phone: 773-585-4100
  • Fax: 773-585-4147
Mailing address:
  • Phone: 773-585-4100
  • Fax: 773-585-4147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DONTAE GREENFIELD
Title or Position: TREASURER
Credential:
Phone: 773-585-4100