GREATER CHICAGO MEDICAL ASSOCIATION, INC (NPI# 1396900106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396900106 |
| Entity Type | Organization |
| Organization Name | GREATER CHICAGO MEDICAL ASSOCIATION, INC |
| Practice Address |
4108 N Lincoln Ave Chicago IL 60618-3028 |
| Practice Telephone | 7732715000 |
| Practice Fax Number | 7737846700 |
| Mailing Telephone | 7732715000 |
| Mailing Fax Number | 7737846700 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DR. ALEXANDER JORDAN ZUREIKAT (PRESIDENT) |
| Authorized Official Telephone | 7732715000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 150094 | 05 |
| Street Address |
4108 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| 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 |
| 1124579073 | Uptown Dui Services | Exclusive Provider Organization | 1525 E 53rd St Ste 411, Chicago, IL 60615-4530 | 2016-10-16 |
| 1811272248 | The Glocoms Group Inc | Exclusive Provider Organization | 40 E Chicago Ave # 200, Chicago, IL 60611-2026 | 2011-10-17 |
| 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.