Organization Name: | IPA OF KANE COUNTY |
NPI Number: | 1104073576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN N. HNATUSKO (ADMINISTRATOR) |
Mailing Address: | 8529 W. 191st Street Mokena |
State: | IL US |
Postal Code: | 60448 |
Phone Number: | 8772263676 |
Fax Number: | 8772263811 |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 10/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |