BROTHERS HEALTH COLLECTIVE NPI 1194496885

NPI Information

NPI: 1194496885
Provider Name: BROTHERS HEALTH COLLECTIVE
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 14D1082197

Address:
2929 S WABASH AVE STE 202
CHICAGO, IL
ZIP 60616
Phone: (312) 808-1044
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BROTHERS HEALTH COLLECTIVE is an addiction (substance use disorder) counselor in Chicago, IL. BROTHERS HEALTH COLLECTIVE NPI is 1194496885. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2929 S WABASH AVE STE 202
CHICAGO, IL
ZIP 60616-243
Phone: (312) 808-1044
Fax: (312) 808-1055

The provider's authorized official is Ariq Cabbler .
The authorized official title is Executive Director and has the following contact phone number (312) 808-1044.

The CLIA number assigned to this NPI record is 14D1082197 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1041C0700X	Social Worker	Clinical	No
3	106S00000X	Behavior Technician		No
4	163WC0400X	Registered Nurse	Case Management	No
5	171400000X	Health and Wellness Coach		No
6	171M00000X	Case Manager/Care Coordinator		No
7	172V00000X	Community Health Worker		No
8	174H00000X	Health Educator		No
9	175T00000X	Peer Specialist		No
10	202K00000X	Phlebology		No
11	207RI0200X	Internal Medicine	Infectious Disease	No
12	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
13	261QM1300X	Clinic/Center	Multi-Specialty	No
14	363L00000X	Nurse Practitioner		No
15	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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