1 CARE INC.

Provider Demographics

• NPI: 1942649421
• Name: 1 CARE INC.
• Entity type: Organization
• Organization Name: 1 CARE INC.
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: MERLIN
• Authorized Official - Last Name: KELSICK
• Authorized Official - Phone: 773-251-4625
• Mailing Address - Street 1: 4800 S CHICAGO BEACH DR
• Mailing Address - Street 2: SUITE 901N
• Mailing Address - City: CHICAGO
• Mailing Address - State: IL
• Mailing Address - Zip Code: 60615-7032
• Mailing Address - Country: US
• Mailing Address - Phone: 773-251-4625
• Mailing Address - Fax: 773-289-0888
• Practice Address - Street 1: 4800 S CHICAGO BEACH DR
• Practice Address - Street 2: SUITE 901N
• Practice Address - City: CHICAGO
• Practice Address - State: IL
• Practice Address - Zip Code: 60615-7032
• Practice Address - Country: US
• Practice Address - Phone: 773-251-4625
• Practice Address - Fax: 773-289-0888
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-06-18
• Last Update Date: 2013-06-18

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207QA0401X	Allopathic & Osteopathic Physicians	Family Medicine	Addiction Medicine	Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	2083X0100X	Allopathic & Osteopathic Physicians	Preventive Medicine	Occupational Medicine	Group - Multi-Specialty
No	2084A0401X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Addiction Medicine	Group - Multi-Specialty
No	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Multi-Specialty
No	2086S0129X	Allopathic & Osteopathic Physicians	Surgery	Vascular Surgery	Group - Multi-Specialty
No	208C00000X	Allopathic & Osteopathic Physicians	Colon & Rectal Surgery		Group - Multi-Specialty
No	208G00000X	Allopathic & Osteopathic Physicians	Thoracic Surgery (Cardiothoracic Vascular Surgery)		Group - Multi-Specialty