Procare 4268 Yankee, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

054015141 Issued in IL

Legal business name

PROCARE 4268 YANKEE, L.L.C.

Doing business as

Damer & Cartwright Pharmacy # 04268

Practice address

104 S Michigan Ave
Suite 619
Chicago, IL 60603-5902

Phone

(312) 252-7204

Fax

(312) 332-6140

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Cristiana Mauricio

Title

Manager, Pharmacy Enrollments

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Damer & Cartwright Pharmacy # 04268 Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992747505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MICHIGAN AVE",
            "address_2": "SUITE 619",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035902",
            "telephone_number": "312-252-7204",
            "fax_number": "312-332-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MICHIGAN AVE",
            "address_2": "SUITE 619",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035902",
            "telephone_number": "312-252-7204",
            "fax_number": "312-332-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE 4268 YANKEE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "CRISTIANA",
        "authorized_official_title_or_position": "MANAGER, PHARMACY ENROLLMENTS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054015141",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054015141",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054015141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326858001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT  STATE LICENSE #",
            "identifier": "054015141",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL NUMBER",
            "identifier": "1476820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT STATE C/S LIC #",
            "identifier": "320008059",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damer & Cartwright Pharmacy # 04268",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Pro, DPT
• Proactive Natural Medicine, LTD
• Proactive Psychotherapy LLC
• Ana Cristina Proano, MD
• Sarah Catherine Probst, DPT
• Procare Dental Group, P.C.
• Procare Dental Group, P.C.
• Procare Pharmaceuticals LLC
• Katie Procarione, MD
• Process Over Product Art Therapy Studio PLLC

• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.