Illume North, Llc

LBN: Illume North, Llc
Illume North, Llc is an health care organization with primary practice located at 324 W Superior St 630 Medical Arts, Duluth MN 55802-1701. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Illume North, Llc can be contacted via phone (218) 380-7119, or through Vaccarella, Sara via phone (218) 302-4678.

Contact Information

Primary practice address
324 W Superior St 630 Medical Arts Duluth MN 55802-1701
Phone: (218) 380-7119
Fax: (651) 925-0039
Website:
Map and Directions
Authorized official contact:
Name: Vaccarella, Sara PSYD
Phone: (218) 302-4678

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1639789019
LBN Legal business name Illume North, Llc
DBA Doing business as
Authorized official Vaccarella, Sara PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2020
Last updated Feb 1st, 2021 - about 3 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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