MORGAN PARK HEALTH SERVICES,LTD (NPI# 1023281722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023281722 |
| Entity Type | Organization |
| Organization Name | MORGAN PARK HEALTH SERVICES,LTD |
| Practice Address |
11157 S Halsted St Chicago IL 60628-3910 |
| Practice Telephone | 7738214600 |
| Mailing Telephone | 7738214600 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | DR. KIMBERLY GRAY WHITE (OWNER/DOCTOR) |
| Authorized Official Telephone | 7738214600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | IL | Managed Care Organizations | |
| Y | 305R00000X | Preferred Provider Organization | IL | Managed Care Organizations |
| Street Address |
11157 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861404279 | Nathaniel Morgan | Dermatology | 11157 S Halsted St, Chicago, IL 60628-3910 | 2006-08-13 |
| 1316157423 | Morgan Park Pharmacy | Pharmacist | 11157 S Halsted St, Chicago, IL 60628-3910 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
| 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 |
| Find all providers in CHICAGO | ||||
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| 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.