THE METRO MENTORSHIP INITIATIVE (NPI# 1417310335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417310335 |
| Entity Type | Organization |
| Organization Name | THE METRO MENTORSHIP INITIATIVE |
| Practice Address |
1828 N Lowell Ave Chicago IL 60639-4818 |
| Practice Telephone | 7735954645 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | LORNE MASSIE (PRESIDENT) |
| Authorized Official Telephone | 7735954645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
1828 N LOWELL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1982081055 | Abc Dental PC | Preferred Provider Organization | 4608 W Diversey Ave, Chicago, IL 60639-1801 | 2015-04-28 |
| 1093119521 | 3 H Care Inc. | Preferred Provider Organization | 4850 S Lake Park Ave Apt 1710, Chicago, IL 60615-2073 | 2014-10-13 |
| 1578988937 | Joshua Allied Home Health Corporation | Preferred Provider Organization | 4250 N Marine Dr Apt 2534, Chicago, IL 60613-1741 | 2014-02-21 |
| 1891119590 | Rimya | Preferred Provider Organization | 2545 W Diversey Ave, Chicago, IL 60647-7172 | 2014-02-15 |
| 1639442536 | Park Smile Design | Preferred Provider Organization | 300 W Adams St Ste 323, Chicago, IL 60606-5107 | 2012-02-23 |
| 1669799813 | Body Works Health & Wellness LLC | Preferred Provider Organization | 825 W. Monroe St., Chicago, IL 60607 | 2010-04-28 |
| 1861660326 | Rauser Psychological Services | Preferred Provider Organization | 4037 N Sheridan Rd, Unit 1, Chicago, IL 60613-5218 | 2008-02-18 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.