THE METRO MENTORSHIP INITIATIVE


Address: 1828 N Lowell Ave, Chicago, IL 60639-4818
Phone: 7735954645

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization Managed Care Organizations

Office Location

Street Address 1828 N LOWELL AVE
City CHICAGO
State IL
Zip Code 60639-4818

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1053876367 Hope Network Foundation Preferred Provider Organization 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 2019-01-31
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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
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City CHICAGO
Zip Code 60639

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Dataset Information

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.

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