Organization
UNIFIED PHYSICIANS NETWORK ACO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAFAR SHAH-MIRANY SR. M.D. (MEDICAL DIRECTOR AND CEO)
(847) 763-1700
Entity
Organization
Contact information
Practice address
5215 OLD ORCHARD RD, SUITE 340, SKOKIE, IL 60077-1035
(847) 763-1700
(847) 676-6983
Mailing address
5215 OLD ORCHARD RD, SUITE 340, SKOKIE, IL 60077-1035
(847) 763-1700
(847) 676-6983
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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