LCR PRIMARY CARE LLC (NPI# 1588037873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588037873 |
Entity Type | Organization |
Organization Name | LCR PRIMARY CARE LLC |
Practice Address |
9237 S.pulaski Ste. 2s Evergreen Park IL 60805 |
Mailing Address |
9237 S Pulaski Rd Ste 2s Evergreen Park IL 60805-1454 |
Practice Telephone | 7734311508 |
Mailing Telephone | 7734311508 |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |
Authorized Official Name | MS. LORETTA B. JOHNSON (OWNER) |
Authorized Official Telephone | 7734311508 |
Authorized Official Credential | C.N.A. |
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 |
9237 S.PULASKI STE. 2S |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
1992023600 | Robert J. Bonk, D.o., Ltd. | Clinic/Center | 3900 West 95th Street, Evergreen Park, IL 60805 | 2010-05-06 |
Find all providers in zip 60805 |
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. |
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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 |
1851758858 | Kgk & Associates | Exclusive Provider Organization | 1521 Essington Rd, Joliet, IL 60435-2879 | 2016-01-21 |
1629473558 | Welltrinsic Sleep Network, Inc. | Exclusive Provider Organization | 2510 N Frontage Rd, Ste 201, Darien, IL 60561-1511 | 2014-11-04 |
1366859282 | Contain Holdings, LLC | Exclusive Provider Organization | 9500 Bormet Dr Ste 204, Mokena, IL 60448-8399 | 2014-07-14 |
1366867319 | Care In The Heart of Home | Exclusive Provider Organization | 614 E Seminary St, Bunker Hill, IL 62014-1208 | 2014-02-27 |
1144643966 | Woodstock Dental Associates, Ltd. | Exclusive Provider Organization | 666 W Jackson St Ste B, Woodstock, IL 60098-3198 | 2014-01-30 |
1639519960 | Family & Friends Adult Day Center Inc. | Exclusive Provider Organization | 701 Abe St, Joliet, IL 60432-1925 | 2013-07-01 |
1811272248 | The Glocoms Group Inc | Exclusive Provider Organization | 40 E Chicago Ave # 200, Chicago, IL 60611-2026 | 2011-10-17 |
1780989145 | Connie Home Health Care,nfp | Exclusive Provider Organization | 21220 Maple St, Matteson, IL 60443-2532 | 2011-01-17 |
Find all providers with the same taxonomy |
City | EVERGREEN PARK |
Zip Code | 60805 |
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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.