Illinicare Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ILLINICARE HEALTH PLAN, INC.

Practice address

999 Oakmont Plaza Dr Ste 400
Westmont, IL 60559-5516

Phone

(866) 329-4701

NPI assigned

Sep 24, 2010

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTENE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sherry Husa

Title

Regional Chief Executive Officer

Phone

(866) 329-4701

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1073822037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR STE 400",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595516",
            "telephone_number": "866-329-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR STE 400",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595516",
            "telephone_number": "866-329-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINICARE HEALTH PLAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENE CORPORATION",
        "enumeration_date": "2010-09-24",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "HUSA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "REGIONAL CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "866-329-4701"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Westmont, IL
• Providers in Westmont, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.