CORETTA J PRUITT
NPI 1043778004
Case Manager/Care Coordinator in Chicago, IL

NPI Status: Active since March 08, 2019

Contact Information

641 W 63RD ST
CHICAGO, IL
ZIP 60621
Phone: (224) 531-7966
Fax: (312) 355-1110

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About CORETTA PRUITT

This page provides the complete NPI Profile along with additional information for Coretta Pruitt, a provider established in Chicago, Illinois with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1043778004 assigned on March 2019. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1043778004
Provider Name
CORETTA J PRUITT
Gender
Female
Entity Type
Individual
Location Address
641 W 63RD ST CHICAGO, IL 60621
Location Phone
(224) 531-7966
Location Fax
(312) 355-1110
Mailing Address
641 W 63RD ST CHICAGO, IL 60621
Mailing Phone
(224) 531-7966
Mailing Fax
(312) 355-1110
Is Sole Proprietor?
No
Enumeration Date
03-08-2019
Last Update Date
03-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043778004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831471600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 7 + 1 + 6 + 0 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1043778004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871595256CITY OF CHICAGO
Organization
Clinic/Center (Community Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7831
1316168412 JENINE LEE CHILES PSY.D.
Individual
Psychologist (Clinical)641 W 63RD ST SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621
(312) 745-0662
1942499983MS. CAROLYN JEAN PAIGE NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-8900
1720245491HEARTLAND HEALTH OUTREACH
Organization
Dentist (General Practice)641 W 63RD ST
CHICAGO, IL 60621
(773) 488-4277
1568788875CHICAGO DEPARTMENT OF PUBLIC HEALTH
Organization
Clinic/Center (Community Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7831
1205147717CITY OF CHICAGO
Organization
Clinic/Center (Adult Mental Health)641 W 63RD ST L33
CHICAGO, IL 60621
(312) 747-7496
1730490269MR. ROBERT L. STEWARD LSW
Individual
Social Worker641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1306147491 JOANNE JONES LCSW
Individual
Social Worker (Clinical)641 W 63RD ST L33
CHICAGO, IL 60621
(312) 747-7496
1386083665MRS. OTHELLA BANNER LCPC
Individual
Counselor641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1689002339 AMANDA THOMPSON
Individual
Counselor (Mental Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1417245861MS. KRISTEN NICOLE KENAN M.D.
Individual
Pediatrics641 W 63RD ST
CHICAGO, IL 60621
(312) 996-2000
1558682187 DANIEL JEAN M.A
Individual
Counselor (Professional)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1730597659 KENDRICK TERRILL CLACK FNP-C
Individual
Nurse Practitioner (Family)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1447770060DR. CAITLIN GRACE WILLIAMS PSY.D., LCP
Individual
Psychologist (Clinical)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1750889945 KENYA SPANN
Individual
Counselor (Professional)641 W 63RD ST
CHICAGO, IL 60621
(708) 491-1306
1386126159 BRITT ELIZABETH HODGDON LCSW
Individual
Social Worker (Clinical)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1558837922BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Organization
Case Management641 W 63RD ST
CHICAGO, IL 60621
(312) 413-4070
1548728686 KYNDRIA TISDALE
Individual
Counselor (Mental Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 550-6774
1316274012 DALE K BENTON NP
Individual
Nurse Practitioner (Family)641 W 63RD ST
CHICAGO, IL 60621
(312) 996-2000
1306292271 WINNIE LIN
Individual
Pediatrics641 W 63RD ST
CHICAGO, IL 60621
(312) 996-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043778004, enumerated in the NPI registry as an "individual" on March 08, 2019

The provider is located at 641 W 63rd St Chicago, Il 60621 and the phone number is (224) 531-7966

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on March 08, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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