OrganizationCollaborative Insight LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address561 W Diversey Pkwy Ste 209, Chicago, IL 60614-1682(773) 217-8299PECOS EnrollmentBased on the most recent information from CMS, provider Collaborative Insight Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255076725Provider TypeOrganizationFull NameCollaborative Insight LlcSubpartNoEnumeration Date4/29/2022Last Updated4/29/2022Contact InformationPractice LocationPractice Address561 W Diversey Pkwy Ste 209, Chicago, IL 60614-1682Phone(773) 217-8299FaxUnlisted FaxMailing LocationMailing Address4000 W Montrose Ave # 766, Chicago, IL 60641-2140PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameRupp, David (Partner)Phone(773) 217-8299Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer