Provider Demographics
NPI:1447061007
Name:CAREFORWARD HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:CAREFORWARD HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZATION CORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:IBIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:OBETEN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:312-600-4404
Mailing Address - Street 1:1147 BROOK FOREST AVE UNIT 730
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-8845
Mailing Address - Country:US
Mailing Address - Phone:312-600-4404
Mailing Address - Fax:
Practice Address - Street 1:14731 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2769
Practice Address - Country:US
Practice Address - Phone:312-600-4404
Practice Address - Fax:312-600-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management