PARK SMILE DESIGN


Address: 300 W Adams St Ste 323, Chicago, IL 60606-5107
Phone: 3123321450

PARK SMILE DESIGN (NPI# 1639442536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639442536
Entity Type Organization
Organization Name PARK SMILE DESIGN
Practice Address 300 W Adams St Ste 323
Chicago
IL 60606-5107
Practice Telephone 3123321450
Mailing Telephone 3123321450
Enumeration Date 2012-02-23
Last Update Date 2012-02-23
Authorized Official Name DR. SANG PARK (OWNER)
Authorized Official Telephone 3123321450
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 019025040 IL Managed Care Organizations

Office Location

Street Address 300 W ADAMS ST STE 323
City CHICAGO
State IL
Zip Code 60606-5107

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

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

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Competitor

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City CHICAGO
Zip Code 60606

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Dataset Information

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.

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