4D HEALTHWARE LLC CLINICAL CONSORTIUM , NPI 1407333685
Case Manager/Care Coordinator in CHICAGO, IL
Last Updated on : Jun 11,2019
About 4D HEALTHWARE LLC CLINICAL CONSORTIUM (NPI 1407333685)
4D HEALTHWARE LLC CLINICAL CONSORTIUM (4D HEALTHWARE, LLC) is a Case Manager/Care Coordinator in CHICAGO, United States .
1407333685 is NPI number of 4D HEALTHWARE LLC CLINICAL CONSORTIUM.
4D HEALTHWARE LLC CLINICAL CONSORTIUM's primary taxonomy code based on NPI Lookup is 171M00000X with license number 036-094623. This taxonomy code refers to Case Manager/Care Coordinator.
4D HEALTHWARE LLC CLINICAL CONSORTIUM current practice location address is 401 N MICHIGAN AVE STE 1740, CHICAGO, IL. 4D HEALTHWARE LLC CLINICAL CONSORTIUM can be reached out via phone at 224-633-9472 and via fax at 630-857-9069 .
You can also correspond with 4D HEALTHWARE LLC CLINICAL CONSORTIUM through mail at mailing address 401 N MICHIGAN AVE STE 1740, CHICAGO, IL, United States. Mailing address contact number is 224-633-9472.
The enumeration date of 4D HEALTHWARE LLC CLINICAL CONSORTIUM is 20-Jul-2018. The provider is registered as an Organization and the NPI record was last updated 4 years ago. The authorized official of 4D HEALTHWARE LLC CLINICAL CONSORTIUM is STAR CUNNINGHAM (Founder/CEO). STAR CUNNINGHAM can be reached at 8476507827.1407333685 NPI Information
Basic NPI information of 4D HEALTHWARE LLC CLINICAL CONSORTIUM (NPI 1407333685) is provided below.
| Name | 4D HEALTHWARE LLC CLINICAL CONSORTIUM |
|---|---|
| National Provider Id (NPI) | 1407333685 |
| Entity Type | Organization |
| Practice Address | 401 N MICHIGAN AVE STE 1740,
CHICAGO, IL, United States |
| Practice Telephone | 224-633-9472 |
| Practice Fax Number | 630-857-9069 |
| Mailing Address | 401 N MICHIGAN AVE STE 1740 ,
CHICAGO, IL, United States |
| Mailing Telephone | 224-633-9472 |
| Mailing Fax Number | 630-857-9069 |
| Enumeration Date | 20-Jul-2018 |
| Last Updated Date | 11-Jun-2019 |
4D HEALTHWARE LLC CLINICAL CONSORTIUM (NPI 1407333685) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 036-094623 | IL |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4D HEALTHWARE LLC CLINICAL CONSORTIUM (NPI 1407333685) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| optional | Other (non-Medicare) (01) | IL | optional opt out |
4D HEALTHWARE LLC CLINICAL CONSORTIUM (NPI 1407333685) Office Location
Office location of 4D HEALTHWARE LLC CLINICAL CONSORTIUM is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1942649421 | 1 CARE INC. | Counselor, Mental Health | 4800 S CHICAGO BEACH DR,
SUITE 901N CHICAGO, IL, United States |
18-Jun-2013 |
| 1598322497 | 1 CARE TRANSPORTATION | Private Vehicle | 4542 S ELLIS AVE,
CHICAGO, IL, United States |
26-May-2019 |
| 1265979389 | 1 STOP MEDICAL SUPPLY SHOP | Durable Medical Equipment & Medical Supplies | 1055 W BRYN MAWR AVE,
STE F252 CHICAGO, IL, United States |
26-Jan-2017 |
| 1578736112 | 1-ON-1 MD, LLC | Internal Medicine | 3501 N SOUTHPORT AVE UNIT 495,
CHICAGO, IL, United States |
03-Apr-2008 |
| 1508161001 | 1-ON-1 MD, LLC | Clinic/Center, Primary Care | 1030 N CLARK ST,
SUITE 310 CHICAGO, IL, United States |
14-Jan-2011 |
| 1730674227 | 105 W MADISON DENTAL PC | Dentist | 600 FAIRWAY DR STE 206,
DEERFIELD BEACH, FL, United States |
27-Jun-2018 |
| 1699218271 | 1103 HEALTH PARTNERS, LLC | Home Health | 456 W BRIAR PL,
SUITE #1 CHICAGO, IL, United States |
30-Nov-2016 |
| 1255415386 | 111TH PHARMA - FAMILY | Pharmacy, Community/Retail Pharmacy | 11101 S STATE ST,
CHICAGO, IL, United States |
25-Oct-2006 |
| 1659616175 | 111TH PHARMA-FAMILY | Clinic/Center, Health Services | 11101 S STATE ST,
CHICAGO, IL, United States |
10-Dec-2012 |
| 1518602796 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
02-May-2022 |
| 1710621537 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
27-Apr-2022 |
| 1568104248 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Adolescent and Children Mental Health | PO BOX 778789,
CHICAGO, IL, United States |
12-Apr-2022 |
| 1750026449 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
28-Apr-2022 |
| 1174265854 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
12-Apr-2022 |
| 1447784921 | 1915-25 95TH ST., LLC | Clinic/Center, Ambulatory Surgical | 1915 E 95TH STREET,
CHICAGO, IL, United States |
12-Apr-2017 |
| 1164135562 | 1938 HOMECARE SERVICES | In Home Supportive Care | 4247 W ROOSEVELT RD FL 2,
CHICAGO, IL, United States |
30-Dec-2022 |
| 1679284129 | 1ADEM HOMECARE ILLINOIS INC. | In Home Supportive Care | 5504 S MICHIGAN AVE APT 316,
CHICAGO, IL, United States |
06-Dec-2022 |
| 1356488365 | 1ST AMERICAN DENTAL | Dentist, General Practice | 2749 W CERMAK,
CHICAGO, IL, United States |
31-Jan-2007 |
| 1487791422 | 1ST BRITE DENTAL | Dentist, General Practice | 2759 W 55TH ST,
CHICAGO, IL, United States |
31-Jan-2007 |
| 1033345814 | 1ST CHOICE TRANSPORTATION, INC | Non-emergency Medical Transport (VAN) | PO BOX 29592,
CHICAGO, IL, United States |
06-Jun-2009 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1407333685?1407333685 is the NPI number of 4D HEALTHWARE LLC CLINICAL CONSORTIUM.
Where is 4D HEALTHWARE LLC CLINICAL CONSORTIUM located?4D HEALTHWARE LLC CLINICAL CONSORTIUM is located at 401 N MICHIGAN AVE STE 1740, CHICAGO, IL.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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