NPIMap

Organization Active NPI

Tri-County Physicians Association

  • Health Maintenance Organization
  • Cary, IL
National Provider Identifier
1376627018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1617365 Issued in IL
Legal business name
TRI-COUNTY PHYSICIANS ASSOCIATION
Practice address
60 E Main St
2ND Floor
Cary, IL 60013-2227
Phone
(847) 516-8901
Fax
(847) 516-8997
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katy Anne Miller
Title
Executive Director of Operations
Phone
(847) 516-8901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1617365 IL Primary

Addresses

Primary practice location

60 E Main St
2ND Floor
Cary, IL 60013-2227

Mailing address

PO Box 160
Cary, IL 60013-0160
Phone (847) 516-8901

National Provider Directory

National Provider Directory

Locations

60 E Main St
Unit 2
Cary, IL 60013
Phone (847) 516-8901

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376627018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600130160",
            "telephone_number": "847-516-8901",
            "fax_number": "847-516-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132227",
            "telephone_number": "847-516-8901",
            "fax_number": "847-516-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY PHYSICIANS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "847-516-8901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "1617365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.