MEDICARE: O&N CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1306105374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O&N CARE, LLC

Provider Business Mailing Address
First Line	:	6225 S KENWOOD AVE APT #1S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637
Country	:	US
Telephone Number	:	773-808-4360
Fax Number	:

Provider Business Practice Location Address
First Line	:	6225 S KENWOOD AVE APT 1S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-3766
Country	:	US
Telephone Number	:	773-808-4360
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. NASTANE LE BEC
Credential	:	MD
Telephone Number	:	773-808-4360

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

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Directions to “O&N CARE, LLC ” Practice Location

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