Mso Great Lakes, Inc.

LBN: Mso Great Lakes, Inc.
Mso Great Lakes, Inc. is an health care organization with primary practice located at 5860 W Higgins Ave , Chicago IL 60630-2372. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Mso Great Lakes, Inc. can be contacted via phone (773) 695-4800, or through Ellingson, Dara C via phone (773) 695-4800.

Contact Information

Primary practice address
5860 W Higgins Ave Chicago IL 60630-2372
Phone: (773) 695-4800
Fax: (773) 864-9418
Website:
Map and Directions
Authorized official contact:
Name: Ellingson, Dara C
Phone: (773) 695-4800

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1538663679
LBN Legal business name Mso Great Lakes, Inc.
DBA Doing business as
Authorized official Ellingson, Dara C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2018
Last updated Jun 16th, 2018 - about 7 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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