Provider Demographics
NPI:1932216876
Name:THE CARING CONNECTION, P.C.
Entity Type:Organization
Organization Name:THE CARING CONNECTION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-377-8655
Mailing Address - Street 1:1121 E MAIN ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2205
Mailing Address - Country:US
Mailing Address - Phone:630-377-8655
Mailing Address - Fax:630-377-8656
Practice Address - Street 1:1121 E MAIN ST
Practice Address - Street 2:SUITE 130
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2205
Practice Address - Country:US
Practice Address - Phone:630-377-8655
Practice Address - Fax:630-377-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL551700Medicare ID - Type Unspecified