Healthcare Provider Details

I. General information

NPI: 1871777656
Provider Name (Legal Business Name): AMAZING MEDICAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 BUTTERFIELD RD STE 138S
OAK BROOK IL
60523-1244
US

IV. Provider business mailing address

2625 BUTTERFIELD RD STE 138S
OAK BROOK IL
60523-1244
US

V. Phone/Fax

Practice location:
  • Phone: 630-572-6300
  • Fax: 630-572-6334
Mailing address:
  • Phone: 630-572-6300
  • Fax: 630-572-6334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number203000344
License Number StateIL

VIII. Authorized Official

Name: ADAORA OKEKE
Title or Position: PRESIDENT
Credential:
Phone: 773-791-1593