Healthcare Provider Details

I. General information

NPI: 1073266342
Provider Name (Legal Business Name): CARICARE MOBILE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 COALER DR
COAL CITY IL
60416-2445
US

IV. Provider business mailing address

317 COALER DR
COAL CITY IL
60416-2445
US

V. Phone/Fax

Practice location:
  • Phone: 815-955-1723
  • Fax:
Mailing address:
  • Phone: 815-955-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLLYN PIERARD
Title or Position: OWNER
Credential: NP
Phone: 815-954-7221