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Chartwell Southern New England, Llc

Chartwell Southern New England, Llc is a health care provider in Chicago, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 80 Clark Dr, Unite 1-a, East Berlin, CT 06023-1157, US
Practice Location Phone800-755-1511
Practice Location Fax860-828-0029
Legal Business NameCHARTWELL SOUTHERN NEW ENGLAND, LLC
Other Organization NameOPTION CARE
Other Organization Name TypeDoing Business As Name
NPI ?1790725588
Entity TypeOrganization
Enumeration Date ? Jun 8, 2006
Last Update Date ? Jan 19, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Chartwell Southern New England, Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies 1385Connecticut
Durable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition 1385Connecticut
PharmacyCommunity/Retail Pharmacy 1385Connecticut
PharmacyHome Infusion Therapy Pharmacy 1385Connecticut

legacy-id-icon Legacy Provider IDs of Chartwell Southern New England, Llc

Provider IdIssuer StateIssuer TypeIssuer
004129822ConnecticutMedicaid
004131132ConnecticutMedicaid

official-icon Authorized Official of Chartwell Southern New England, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Chartwell Southern New England, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Joseph Bonaccorsi (JD)
Authorized Official Title/PositionMANAGING MEMBER
Authorized Official Phone Number847-229-7794