Provider Demographics
NPI:1669247250
Name:HAH CARE COORDINATION ILLINOIS LLC
Entity type:Organization
Organization Name:HAH CARE COORDINATION ILLINOIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BONACCORSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-346-6599
Mailing Address - Street 1:33 S STATE STREET
Mailing Address - Street 2:FIFTH FLOOR, SUITE 100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-2804
Mailing Address - Country:US
Mailing Address - Phone:773-339-8812
Mailing Address - Fax:
Practice Address - Street 1:33 S STATE STREET
Practice Address - Street 2:FIFTH FLOOR, SUITE 100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-2804
Practice Address - Country:US
Practice Address - Phone:773-339-8812
Practice Address - Fax:833-341-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty