Md2 Chicago

LBN: Md2 Chicago
Md2 Chicago is an health care organization with primary practice located at 676 N Michigan Ave Suite 3120, Chicago IL 60611-2883. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Md2 Chicago can be contacted via phone (312) 780-2301, or through Hennessy, Joseph J via phone (312) 780-2301.

Contact Information

Primary practice address
676 N Michigan Ave Suite 3120 Chicago IL 60611-2883
Phone: (312) 780-2301
Fax: (312) 780-2304
Website:
Map and Directions
Authorized official contact:
Name: Hennessy, Joseph J Doctor of Medicine (MD)
Phone: (312) 780-2301

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 036082176 Illinois

Profile Details

NPI number 1568742542
LBN Legal business name Md2 Chicago
DBA Doing business as
Authorized official Hennessy, Joseph J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2011
Last updated Aug 23rd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568742542 NPPES
Illinois MEDICAID 036082176

Popular Providers