Provider Demographics
NPI:1790307411
Name:OCTICARE, INC.
Entity type:Organization
Organization Name:OCTICARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-454-7777
Mailing Address - Street 1:770 ROCKWELL LN
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6218
Mailing Address - Country:US
Mailing Address - Phone:847-454-7777
Mailing Address - Fax:224-253-4888
Practice Address - Street 1:200 E EVERGREEN AVE STE 127
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3294
Practice Address - Country:US
Practice Address - Phone:224-414-2088
Practice Address - Fax:224-253-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care