Provider Demographics
NPI:1295031037
Name:ABSOLUTE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ABSOLUTE SOLUTIONS, LLC
Other - Org Name:ABSOLUTEDX, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-773-5129
Mailing Address - Street 1:3108 S ROUTE 59
Mailing Address - Street 2:SUITE 124
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8021
Mailing Address - Country:US
Mailing Address - Phone:800-321-5040
Mailing Address - Fax:888-893-5330
Practice Address - Street 1:3108 S ROUTE 59
Practice Address - Street 2:SUITE 124
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8021
Practice Address - Country:US
Practice Address - Phone:800-321-5040
Practice Address - Fax:888-893-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization