Elmhurst Physician Hospital Organization LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

60019747 Issued in IL

Legal business name

ELMHURST PHYSICIAN HOSPITAL ORGANIZATION LLC

Doing business as

Elmcare, LLC

Practice address

855 N Church Rd
Elmhurst, IL 60126-1005

Phone

(630) 833-8200

Fax

(630) 993-5619

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Denise Louise Meyers

Title

Executive Director

Phone

(630) 833-8200

Specialties & licenses 1

Addresses

Other names 1

• Elmcare, LLC Doing business as

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1578689063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BERTEAU AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262966",
            "telephone_number": "630-833-8200",
            "fax_number": "630-993-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N CHURCH RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261005",
            "telephone_number": "630-833-8200",
            "fax_number": "630-993-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST PHYSICIAN HOSPITAL ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-833-8200"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "60019747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Elmhurst, IL
• Providers in Elmhurst, 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 Jun 23, 2008; 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.