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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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