MEDICARE: ORICARE 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1982552279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORICARE LLC

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

Provider Business Practice Location Address
First Line	:	857 N LOREL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-2839
Country	:	US
Telephone Number	:	812-900-0382
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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