Organization
THE CAREPORT, LLC
Active
Other names
The CAREPORT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEAGAN BROWN LCSE (OWNER)
(773) 879-8395
Entity
Organization
Contact information
Practice address
101 W GRAND AVE STE 402, CHICAGO, IL 60654-7129
(773) 879-8395
Mailing address
101 W GRAND AVE STE 402, CHICAGO, IL 60654-7129
(773) 879-8395
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568810778
STATE OF IL
IL
Enumeration date
03/17/2021
Last updated
03/17/2021
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