MD2 CHICAGO (NPI# 1568742542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568742542 |
| Entity Type | Organization |
| Organization Name | MD2 CHICAGO |
| Practice Address |
676 N Michigan Ave Suite 3120 Chicago IL 60611-2883 |
| Practice Telephone | 3127802301 |
| Practice Fax Number | 3127802304 |
| Mailing Telephone | 3127802301 |
| Mailing Fax Number | 3127802304 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | DR. JOSEPH J HENNESSY (PRESIDENT) |
| Authorized Official Telephone | 3127802301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 036082176 | IL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036082176 | 05 |
| Street Address |
676 N MICHIGAN AVE SUITE 3120 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253024 | Steven Richard Gallo | Internal Medicine | 676 N Michigan Ave, Suite 3120, Chicago, IL 60611-2883 | 2005-08-30 |
| 1851938351 | Nicole Walker | Physician Assistant | 676 N Michigan Ave, Chicago, IL 60611-2883 | 2019-12-03 |
| 1114396009 | John Wike | Physician Assistant | 676 N Michigan Ave, Suite 3850, Chicago, IL 60611-2883 | 2015-09-21 |
| 1790045490 | Gail Tischke | Dentist | 676 N Michigan Ave, Suite 3500, Chicago, IL 60611-2883 | 2012-05-29 |
| 1891943478 | Terence Eamon O'hare | Surgery | 676 N Michigan Ave, Suite 3850, Chicago, IL 60611-2883 | 2008-09-08 |
| 1730345133 | William Derois Yates | Surgery | 676 N Michigan Ave, Suite 3850, Chicago, IL 60611-2883 | 2008-08-05 |
| 1336311992 | Manus Northwestern Oral Health Center | Dentist | 676 N Michigan Ave, #3500, Chicago, IL 60611-2883 | 2008-03-24 |
| 1750584298 | Kenneth E. Brooks II | Dentist | 676 N Michigan Ave, Suite 3500, Chicago, IL 60611-2883 | 2007-06-11 |
| 1548461940 | Robin R Gay | Dentist | 676 N Michigan Ave, 35 Th Floor, Chicago, IL 60611-2883 | 2007-05-31 |
| 1992906309 | Daniel W Au | Dentist | 676 N Michigan Ave, 35th Floor, Chicago, IL 60611-2883 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| 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 |
| 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 |
| 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.