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Organization

MHN ACO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA WOLF (BOARD CHAIR)
(773) 394-9660
Entity
Organization

Contact information

Practice address
180 N. STETSON AVENUE, SUITE 600-1, 180 N. STETSON AVENUE, SUITE 600-1, CHICAGO, IL 60601
(312) 274-0126
(312) 274-0555
Mailing address
TWO PRUDENTIAL PLAZA, 180 N. STETSON AVENUE, SUITE 600-1, CHICAGO, IL 60601
(312) 274-0126
(312) 274-0555

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/19/2018
Last updated
10/05/2022
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