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Contact Information

COLLABORATIVE CARE, LLC
3725 N SOUTHPORT AVE
CHICAGO, IL60613-3718
 Phone: 773-576-3925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for COLLABORATIVE CARE, LLC

NPI # 1083008502
LBN Legal business name COLLABORATIVE CARE, LLC
Authorized official JACQUELINE O'NEILL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2015
Last updated 03/23/2015 - About 11 years ago
Identifiers
IL License # 198.000729
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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