NPIMap

Organization Active NPI

Mobile Health Team

  • Health Maintenance Organization
  • Chicago, IL
National Provider Identifier
1356725485
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
041404508 Issued in IL
Legal business name
MOBILE HEALTH TEAM
Practice address
6257 McCormick Blvd
Ste 134
Chicago, IL 60659-7463
Phone
(773) 234-1698
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Victory Okorie
Title
Executive Director
Phone
(614) 419-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 041404508 IL Primary

Addresses

Primary practice location

6257 McCormick Blvd
Ste 134
Chicago, IL 60659-7463

Mailing address

6257 W. McCormick Blvd
Suite 134
Chicago, IL 60659
Phone (773) 234-1698

National Provider Directory

National Provider Directory

Locations

6257 N McCormick Rd
Ste 134
Chicago, IL 60659
Phone (773) 234-1698

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1356725485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 W. MCCORMICK BLVD",
            "address_2": "SUITE 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-234-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 MCCORMICK BLVD",
            "address_2": "STE 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597463",
            "telephone_number": "773-234-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "VICTORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-419-7820"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "041404508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.