Fortythirtyone, Inc
LBN: Fortythirtyone, Inc
Fortythirtyone, Inc is an health care organization with primary practice located at 1580 N Northwest Hwy Suite 312, Park Ridge IL 60068-1444. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Fortythirtyone, Inc can be contacted via phone (847) 827-0600, or through Brzovich, Nada Marie via phone (847) 827-0600.
Contact Information
Primary practice address
1580 N Northwest Hwy Suite 312
Park Ridge IL 60068-1444
Phone: (847) 827-0600
Fax: (877) 481-0769
Website:
Authorized official contact:
Name: Brzovich, Nada Marie Licensed Clinical Social Worker (LCSW)
Phone: (847) 827-0600
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149010861 | Illinois |
Profile Details
NPI number | 1164886297 |
---|---|
LBN Legal business name | Fortythirtyone, Inc |
DBA Doing business as | |
Authorized official | Brzovich, Nada Marie Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 5th, 2016 |
Last updated | Apr 5th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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