M & D Health Care, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5902-579-1 Issued in IL

Legal business name

M & D HEALTH CARE, INC.

Practice address

3525 W Peterson Ave
Suite T-21
Chicago, IL 60659-3324

Phone

(773) 583-1433

Fax

(773) 583-1435

NPI assigned

Feb 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Josefina P Cacal, RN

Title

Administrator

Phone

(773) 294-8221

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1093054983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE",
            "address_2": "SUITE T-21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593324",
            "telephone_number": "773-583-1433",
            "fax_number": "773-583-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE",
            "address_2": "SUITE T-21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593324",
            "telephone_number": "773-583-1433",
            "fax_number": "773-583-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CACAL",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-294-8221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "5902-579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.