Mdm Advanced Ancillary Services, Llc in Chicago - Exclusive Provider Organization

Mdm Advanced Ancillary Services, Llc - NPI 1336267855

Mdm Advanced Ancillary Services, Llc is a Exclusive Provider Organization in Chicago, Illinois. Mdm Advanced Ancillary Services, Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Mdm Advanced Ancillary Services, Llc is 1336267855. The last update date is 2020-08-22.

Mdm Advanced Ancillary Services, Llc's current location address is Dept 10116, Chicago, Illinois. You can contact this provider via phone number 7084786417 and fax number 7085358087. The mailing address for Mdm Advanced Ancillary Services, Llc is Dept 10116, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mdm Advanced Ancillary Services, Llc
Address Dept 10116, Chicago, Illinois
Phone Number 7084786417
Fax Number 7085358087
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF OPER
Authorized Official Name Knipper Jon
Telephone Number 7084786434

NPI Number Detail

NPI Number 1336267855
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Dept 10116
City Chicago
State Illinois (IL)
Post Code 606800618
Phone Number 7084786417
Fax Number 7085358087

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

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FAQs about Mdm Advanced Ancillary Services, Llc

What is the unique provider identifier assigned to Mdm Advanced Ancillary Services, Llc?

The Mdm Advanced Ancillary Services, Llc has been issued the NPI (National Provider Identifier) 1336267855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mdm Advanced Ancillary Services, Llc is physically located?

The Mdm Advanced Ancillary Services, Llc is situated at the following address: Dept 10116, Chicago, IL 606800618.

What is the area of specialization for Mdm Advanced Ancillary Services, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mdm Advanced Ancillary Services, Llc is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 302F00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336267855 to Mdm Advanced Ancillary Services, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1336267855 to Mdm Advanced Ancillary Services, Llc on 2007-03-26.

When was the information regarding Mdm Advanced Ancillary Services, Llc most recently updated?

The details pertaining to the Mdm Advanced Ancillary Services, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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