| Organization Name: | CHICAGOLAND'S MEDICAL SERVICES ORGANIZATION |
| NPI Number: | 1518322817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAMON V MORSE (PRESIDENT & CEO) |
| Mailing Address: | 4415 Harrison St Ste 300 Hillside |
| State: | IL US |
| Postal Code: | 601621953 |
| Phone Number: | 7738682030 |
| Fax Number: | 8889721803 |
| NPI Enumeration Date: | 12/31/2015 |
| NPI Last Update Date: | 12/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | |
| 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 |