Organization Name: | BREAK4HEALTH |
NPI Number: | 1003248378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER L MANDELL (PRESIDENT/CEO) |
Mailing Address: | 1535 Lake Cook Rd #112 Northbrook |
State: | IL US |
Postal Code: | 600621447 |
Phone Number: | 2242354758 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 2137912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |