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Contact Information

CARLTHEL BRENT
4137 SAUK TRL STE 116
RICHTON PARK, IL60471-1253
 Phone: 708-634-6715
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Contractor

171W00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for

NPI # 1386404291
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/19/2024
Last updated 03/19/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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