Healthcare Provider Details
I. General information
NPI: 1942655030
Provider Name (Legal Business Name): ALL CARE NOW, LLC - ACN BILLING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2016
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2342 N LAKEWOOD AVE
CHICAGO IL
60614-6210
US
IV. Provider business mailing address
2342 N LAKEWOOD AVE
CHICAGO IL
60614-6210
US
V. Phone/Fax
- Phone: 773-441-2534
- Fax: 312-277-3462
- Phone: 773-441-2534
- Fax: 312-277-3462
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171W00000X |
| Taxonomy | Contractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
KUJAWSKI
Title or Position: MANAGER
Credential:
Phone: 773-441-2534