Mpac Aco Reach PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MPAC ACO REACH PLLC

Practice address

3000 N Halsted St Ste 803
Chicago, IL 60657-6185

Phone

(312) 447-1941

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sean Cannone, DONPI 1467563874

Title

Cmo

Phone

(330) 328-3167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nkechi Pauline Onyeukwu, RN MSN FNP

  • Nurse Practitioner
  • Gary, IN
  • NPI 1023031978

  IL

  Medicare reassignment
• Sean C Cannone, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Copley, OH
  • NPI 1467563874
  NPD (past) Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1508603895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "888-705-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576185",
            "telephone_number": "312-447-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPAC ACO REACH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CANNONE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "330-328-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin F. Mozes, M.D.
• Jeremy Mozwecz, PHARMD
• Melissa Alysom Mozwecz, APN NNP-BC
• MP Health Solutions Inc
• MP Pediatrics
• Mpac of Wisconsin SC
• Mpac PHC of Il PC
• Mpac SMH of California Aco PC
• Mpac SMH of California PC
• Mpac Texas Aco PLLC

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.