Greater Chicago Medical Association, Inc in Chicago - Exclusive Provider Organization

Greater Chicago Medical Association, Inc - NPI 1396900106

Greater Chicago Medical Association, Inc is a Exclusive Provider Organization in Chicago, Illinois. Greater Chicago Medical Association, Inc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Greater Chicago Medical Association, Inc is 1396900106. The last update date is 2008-07-21.

Greater Chicago Medical Association, Inc's current location address is 4108 N Lincoln Ave, Chicago, Illinois. You can contact this provider via phone number 7732715000 and fax number 7737846700. The mailing address for Greater Chicago Medical Association, Inc is 4108 N Lincoln Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greater Chicago Medical Association, Inc
Address 4108 N Lincoln Ave, Chicago, Illinois
Phone Number 7732715000
Fax Number 7737846700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Zureikat Jordan Alexander
Credentials M.D.
Telephone Number 7732715000

NPI Number Detail

NPI Number 1396900106
Provider Enumeration Date 2008-07-21
Last Updated Date 2008-07-21

Provider Mailing Address Detail

Address 4108 N Lincoln Ave
City Chicago
State Illinois (IL)
Post Code 606183028
Phone Number 7732715000
Fax Number 7737846700

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
150094 IL --

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FAQs about Greater Chicago Medical Association, Inc

What is the unique provider identifier assigned to Greater Chicago Medical Association, Inc?

The Greater Chicago Medical Association, Inc has been issued the NPI (National Provider Identifier) 1396900106 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 Greater Chicago Medical Association, Inc is physically located?

The Greater Chicago Medical Association, Inc is situated at the following address: 4108 N Lincoln Ave, Chicago, IL 606183028.

What is the Greater Chicago Medical Association, Inc's specialty and taxonomy code?

The Greater Chicago Medical Association, Inc's specialty is Exclusive Provider Organization, and the corresponding taxonomy code is 302F00000X.

On what date was the 1396900106 assigned to Greater Chicago Medical Association, Inc?

The Greater Chicago Medical Association, Inc was issued its 1396900106 on 2008-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Greater Chicago Medical Association, Inc most recently updated or revised?

The information pertaining to Greater Chicago Medical Association, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-21.

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