EMILY EDELMAN PSYCHOTHERAPY, AN ILLINOIS CORPORATION


Address: 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679
Phone: 7734069181

EMILY EDELMAN PSYCHOTHERAPY, AN ILLINOIS CORPORATION (NPI# 1801336441) 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) 1801336441
Entity Type Organization
Organization Name EMILY EDELMAN PSYCHOTHERAPY, AN ILLINOIS CORPORATION
Practice Address 2100 S Marshall Blvd
Apt 804
Chicago
IL 60623-3679
Practice Telephone 7734069181
Mailing Telephone 7734069181
Enumeration Date 2017-03-01
Last Update Date 2017-03-01
Authorized Official Name MS. EMILY EDELMAN (PSYCHOTHERAPIST/OWNER)
Authorized Official Telephone 7734069181
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 149.012940 IL Managed Care Organizations

Office Location

Street Address 2100 S MARSHALL BLVD
APT 804
City CHICAGO
State IL
Zip Code 60623-3679

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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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1982081055 Abc Dental PC Preferred Provider Organization 4608 W Diversey Ave, Chicago, IL 60639-1801 2015-04-28
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City CHICAGO
Zip Code 60623

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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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