| NPI | 1811866452 |
|---|---|
| Doing Business As | IMMUNOCARE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARTEL SHANTAZE WARDEN Owner 815-457-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-04-21 |