Healthcare Provider Details

I. General information

NPI: 1801740964
Provider Name (Legal Business Name): COMPREHENSIVE CREATIVE CARE 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 WATKINS CT
MARKHAM IL
60428-5448
US

IV. Provider business mailing address

3630 WATKINS CT
MARKHAM IL
60428-5448
US

V. Phone/Fax

Practice location:
  • Phone: 708-928-2024
  • Fax: 949-841-0532
Mailing address:
  • Phone: 708-928-2024
  • Fax: 949-841-0532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARAINE JAMES
Title or Position: NURSE PRACTITIONER
Credential: DNP, APRN-FPA, FNP-B
Phone: 708-439-3058