Healthcare Provider Details

I. General information

NPI: 1437816634
Provider Name (Legal Business Name): AR INTERVENTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 S LASALLE STREET SUITE 1700
CHICAGO IL
60603
US

IV. Provider business mailing address

190 S LASALLE SUITE 1700
CHICAGO IL
60603-6340
US

V. Phone/Fax

Practice location:
  • Phone: 312-625-0024
  • Fax:
Mailing address:
  • Phone: 312-625-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW RINTELS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW, CADC
Phone: 312-625-0024