Healthcare Provider Details

I. General information

NPI: 1487877155
Provider Name (Legal Business Name): CARI MEDICAL OFFICE SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 W FULLERTON AVE
CHICAGO IL
60639-1934
US

IV. Provider business mailing address

2626 N LAKEVIEW AVE #2707
CHICAGO IL
60614-6173
US

V. Phone/Fax

Practice location:
  • Phone: 773-525-6988
  • Fax: 773-525-6989
Mailing address:
  • Phone: 773-525-6988
  • Fax: 773-525-6989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY RING
Title or Position: MD
Credential:
Phone: 773-525-6988