| Kc Care Inc | |
|
1525 E 53rd St Ste 428 Chicago IL 60615-4575 | |
| (312) 801-6219 | |
| (773) 326-0871 |
| Full Name | Kc Care Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1525 E 53rd St Ste 428, Chicago, Illinois |
| Authorized Official Name and Position | Kenneth G Wilson (DIRECTOR) |
| Authorized Official Contact | 3128016219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Care Inc 1525 E 53rd St Ste 428 Chicago IL 60615-4575 Ph: (312) 801-6219 | Kc Care Inc 1525 E 53rd St Ste 428 Chicago IL 60615-4575 Ph: (312) 801-6219 |
| NPI Number | 1669032520 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669032520 | NPI | - | NPPES |
| 361562877001 | Medicaid | IL |
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