Provider Demographics
NPI:1801247770
Name:SMARTCAREHUB,LLC
Entity type:Organization
Organization Name:SMARTCAREHUB,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:HACHMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-315-9701
Mailing Address - Street 1:1415 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2074
Mailing Address - Country:US
Mailing Address - Phone:312-315-9701
Mailing Address - Fax:630-684-2299
Practice Address - Street 1:1415 W 22ND ST
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2074
Practice Address - Country:US
Practice Address - Phone:312-315-9701
Practice Address - Fax:630-684-2299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMARTCAREHUB,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty