NPIMap

Organization Active NPI

Ipa of Kane County

  • Health Maintenance Organization
  • Mokena, IL
National Provider Identifier
1104073576
Registry record updated Oct 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
IPA OF KANE COUNTY
Practice address
8529 W. 191St Street
Mokena, IL 60448
Phone
(877) 226-3676
Fax
(877) 226-3811
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2013

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

Authorized official

Name
Mr. Kevin N. Hnatusko
Title
Administrator
Phone
(877) 226-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

8529 W. 191St Street
Mokena, IL 60448

Mailing address

P.O. Box 728
Frankfort, IL 60423
Phone (877) 226-3676

National Provider Directory

National Provider Directory

Locations

8529 W 191st St
Mokena, IL 60448
Phone (877) 226-3676

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1104073576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 728",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "877-226-3676",
            "fax_number": "877-226-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 W. 191ST STREET",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "877-226-3676",
            "fax_number": "877-226-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA OF KANE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "HNATUSKO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "877-226-3676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2013; 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.