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Organization
BROTHERS HEALTH COLLECTIVE
Active
Organization
BROTHERS HEALTH COLLECTIVE
Active
Parent organization
ALLIANCE CARE 360
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE CARE 360
Authorized official
ARIQ CABBLER PA (EXECUTIVE DIRECTOR)
(312) 808-1044
Entity
Organization
Contact information
Practice address
2929 S WABASH AVE STE 202, CHICAGO, IL 60616-3243
(312) 808-1044
(312) 808-1055
Mailing address
2929 S WABASH AVE STE 202, CHICAGO, IL 60616-3243
(312) 808-1044
(312) 808-1055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
163WC0400X
Case Management Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
202K00000X
Phlebology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/23/2021
Last updated
12/01/2022
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