UPTOWN DUI SERVICES (NPI# 1124579073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124579073 |
| Entity Type | Organization |
| Organization Name | UPTOWN DUI SERVICES |
| Practice Address |
1525 E 53rd St Ste 411 Chicago IL 60615-4530 |
| Practice Telephone | 3124515184 |
| Practice Fax Number | 7088966580 |
| Mailing Telephone | 3124515184 |
| Mailing Fax Number | 7088966580 |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |
| Authorized Official Name | PAUL FITZGERALD JORDAN (DUI / TREATMENT PROVIDER) |
| Authorized Official Telephone | 3124515184 |
| Authorized Official Credential | CADC, MISA I, DU |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 302F00000X | IL | Managed Care Organizations |
| Street Address |
1525 E 53RD ST STE 411 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787155 | Iva Elliott | Exclusive Provider Organization | 4119 S Wabash Ave Apt 2, Chicago, IL 60653-2122 | 2017-05-12 |
| 1811272248 | The Glocoms Group Inc | Exclusive Provider Organization | 40 E Chicago Ave # 200, Chicago, IL 60611-2026 | 2011-10-17 |
| 1396900106 | Greater Chicago Medical Association, Inc | Exclusive Provider Organization | 4108 N Lincoln Ave, Chicago, IL 60618-3028 | 2008-07-21 |
| 1235329749 | Alicia Stovell, M.d. PC | Exclusive Provider Organization | 8741 S Greenwood Ave Ste 101, Chicago, IL 60619-7058 | 2007-07-31 |
| 1558728519 | Lawrence House | Exclusive Provider Organization | 1001 W Lawrence Ave, Chicago, IL 60640-5017 | 2016-01-21 |
| 1891172532 | Healthengine, LLC | Exclusive Provider Organization | 116 W Hubbard St, #7s, Chicago, IL 60654-8542 | 2015-05-01 |
| 1477960979 | Greater Chicago Medical Association Inc | Exclusive Provider Organization | 6160 N Cicero Ave, Suite 216, Chicago, IL 60646-4312 | 2014-07-16 |
| 1699198929 | Rifai M.d.,s.c. | Exclusive Provider Organization | 4708 N Kedzie Ave, Chicago, IL 60625-4421 | 2014-01-22 |
| 1063834232 | Quality Medical Inc | Exclusive Provider Organization | 4708 N Kedzie Ave, Chicago, IL 60625-4421 | 2014-01-07 |
| 1942549548 | Together4health LLC | Exclusive Provider Organization | 1015 W Lawrence Ave, 2nd Floor, Chicago, IL 60640-5017 | 2013-02-04 |
| 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.