Organization
ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASANTE K YUGEN MANAGER (REGIONAL ADMINISTRATOR)
(708) 673-6600
Entity
Organization
Contact information
Practice address
5105 S HARPER AVE UNIT 414, CHICAGO, IL 60615-4156
(708) 673-6600
Mailing address
308 S JEFFERSON ST STE 190, CHICAGO, IL 60661-5605
(708) 673-6600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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