Active NPI
Coordinated Care Alliance
- Case Management Agency
- Elgin, IL
National Provider Identifier
1043574825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COORDINATED CARE ALLIANCE
- Practice address
- 101 S Grove Ave
Elgin, IL 60120-6407 - Phone
- (224) 535-8083
- Fax
- (224) 535-9028
- NPI assigned
- Jun 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Danise Habun
- Title
- Executive Director
- Phone
- (224) 535-8380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
101 S Grove Ave
Elgin, IL 60120-6407
Mailing address
101 S Grove Ave
Elgin, IL 60120-6407
Phone (224) 535-8380
National Provider Directory
National Provider DirectoryLocations
101 S Grove Ave
Elgin, IL 60120
Phone (224) 535-8083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1043574825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S GROVE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601206407",
"telephone_number": "224-535-8380",
"fax_number": "224-535-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S GROVE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601206407",
"telephone_number": "224-535-8083",
"fax_number": "224-535-9028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COORDINATED CARE ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "HABUN",
"authorized_official_first_name": "DANISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "224-535-8380",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.