Organization
AMERIGROUP ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED M. ROSENTHAL (CEO AND PRESIDENT)
(312) 214-0400
Entity
Organization
Contact information
Practice address
211 W WACKER DR, SUITE 1350, CHICAGO, IL 60606-1217
(312) 214-0400
(312) 214-0424
Mailing address
211 W WACKER DR, SUITE 1350, CHICAGO, IL 60606-1217
(312) 214-0400
(312) 214-0424
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/01/2005
Last updated
08/22/2020
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