1942655030 NPI number — ALL CARE NOW, LLC - ACN BILLING

Table of content: (NPI 1942655030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942655030 NPI number — ALL CARE NOW, LLC - ACN BILLING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL CARE NOW, LLC - ACN BILLING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942655030
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2342 N LAKEWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60614-6210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-441-2534
Provider Business Mailing Address Fax Number:
312-277-3462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2342 N LAKEWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60614-6210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-441-2534
Provider Business Practice Location Address Fax Number:
312-277-3462
Provider Enumeration Date:
04/26/2016

Additional Information

Authorized Official

Authorized Official Last Name:
KUJAWSKI
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
773-441-2534

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05393795(002) . This is a "LLC FILE DETAIL REPORT" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com