Organization
COORDINATED CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANISE HABUN (EXECUTIVE DIRECTOR)
(224) 535-8380
Entity
Organization
Contact information
Practice address
101 S GROVE AVE, ELGIN, IL 60120-6407
(224) 535-8083
(224) 535-9028
Mailing address
101 S GROVE AVE, ELGIN, IL 60120-6407
(224) 535-8380
(224) 535-9028
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
01/14/2014
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