Provider Demographics
NPI:1710140348
Name:DANE ENTERPRISE INC.
Entity Type:Organization
Organization Name:DANE ENTERPRISE INC.
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-304-0123
Mailing Address - Street 1:1250 S GROVE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5011
Mailing Address - Country:US
Mailing Address - Phone:847-304-0123
Mailing Address - Fax:847-382-1787
Practice Address - Street 1:1250 S GROVE AVE STE 200
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5011
Practice Address - Country:US
Practice Address - Phone:847-304-0123
Practice Address - Fax:847-382-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health