NPI Code Details Logo

NPI 1982552279

NPI 1982552279 : ORICARE LLC : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1982552279
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ORICARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/20/2026
-----------------------------------------------------
    Last Update Date     |    03/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    857 N LOREL AVE 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60651-2839
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-900-0382
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16 W PRAIRIE CT 
-----------------------------------------------------
    City                 |    HAWTHORN WOODS
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60047-8125
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-900-0382
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    DR. ADEOLA  OLUBAMIJI 
-----------------------------------------------------
    Credential           |    PHD
-----------------------------------------------------
    Telephone            |    812-900-0382
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.