Organization
ACCOUNTABLE CARE CHICAGO
Active
Other names
MyCare Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HANSON (INTERIM FINANCE DIRECTOR)
(773) 878-8200
Entity
Organization
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 878-6152
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 878-6152
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078
—
IL
Enumeration date
06/12/2014
Last updated
06/12/2014
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