MSO Great Lakes, Inc
MSO Great Lakes, Inc is a Health Maintenance Organization in Chicago, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5860 W Higgins AveChicago, IL 60630-2372
Phone: (773) 695-4800
Fax: (773) 864-9418
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X |
|---|
Record details
| NPI number | 1538663679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dara Ellingson — Chief Operating Officer · (773) 695-4800 |
| NPI enumerated | March 22, 2018 |
| Last updated in NPPES | June 16, 2018 |
| Mailing address | 5860 W Higgins Ave, Chicago, IL 60630-2372 |
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