Provider Demographics
NPI:1861090045
Name:KIND CARE ILLINOIS
Entity type:Organization
Organization Name:KIND CARE ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIRAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-402-8979
Mailing Address - Street 1:1617 WESTMINSTER DR APT 203
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9226
Mailing Address - Country:US
Mailing Address - Phone:630-402-8979
Mailing Address - Fax:
Practice Address - Street 1:1617 WESTMINSTER DR APT 203
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9226
Practice Address - Country:US
Practice Address - Phone:630-402-8979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)