Saint Mary Of Nazareth Pho

LBN: Saint Mary Of Nazareth Pho
Saint Mary Of Nazareth Pho is an health care organization with primary practice located at 1021 West Adams Street Suite 300, Chicago IL 60607. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Saint Mary Of Nazareth Pho can be contacted via phone (773) 572-8300, or through Koch, Elizabeth Stackpole via phone (773) 572-8331.

Contact Information

Primary practice address
1021 West Adams Street Suite 300 Chicago IL 60607
Phone: (773) 572-8300
Fax: (312) 455-9485
Website:
Map and Directions
Authorized official contact:
Name: Koch, Elizabeth Stackpole
Phone: (773) 572-8331

Health care specialties

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

Profile Details

NPI number 1164517462
LBN Legal business name Saint Mary Of Nazareth Pho
DBA Doing business as
Authorized official Koch, Elizabeth Stackpole
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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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