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

Active since March 08, 2019
641 W 63RD ST, CHICAGO, IL 60621(224) 531-7966(312) 355-1110 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coretta J Pruitt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORETTA J PRUITT (NPI 1043778004) is an individual case manager/care coordinator provider in Chicago, Illinois and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1043778004
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCORETTA J PRUITT
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address641 W 63rd StChicago, IL 60621-2032 · (224) 531-7966 · Fax (312) 355-1110
Fax(312) 355-1110
Sole ProprietorNo
Enumeration DateMarch 8, 2019
NPI 1043778004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
641 W 63RD ST, Chicago, IL 60621

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621
Nurse Practitioner (Family)
641 W 63RD ST
CHICAGO, IL 60621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coretta Pruitt's NPI number?

The NPI number for Coretta Pruitt is 1043778004. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Where is Coretta Pruitt located?

Coretta Pruitt practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (224) 531-7966.

What is Coretta Pruitt's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Coretta Pruitt was last updated on March 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.