Greater Chicago Medical Association, Inc

LBN: Greater Chicago Medical Association, Inc
Greater Chicago Medical Association, Inc is an health care organization with primary practice located at 4108 N Lincoln Ave , Chicago IL 60618-3028. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Greater Chicago Medical Association, Inc can be contacted via phone (773) 271-5000, or through Zureikat, Alexander Jordan via phone (773) 271-5000.

Contact Information

Primary practice address
4108 N Lincoln Ave Chicago IL 60618-3028
Fax: (773) 784-6700
Website:
Authorized official contact:
Name: Zureikat, Alexander Jordan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1396900106
LBN Legal business name Greater Chicago Medical Association, Inc
DBA Doing business as
Authorized official Zureikat, Alexander Jordan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2008
Last updated Jul 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396900106 NPPES
Illinois MEDICAID 150094

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