Organization Active NPI

Hah Care Coordination Illinois LLC

  • Primary Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669247250
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HAH CARE COORDINATION ILLINOIS LLC
Practice address
33 S State Street
Fifth Floor, Suite 100
Chicago, IL 60603-2804
Phone
(773) 339-8812
Fax
(833) 341-5692
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Mr. Joseph Bonaccorsi
Title
Chief Legal Officer
Phone
(312) 346-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

33 S State Street
Fifth Floor, Suite 100
Chicago, IL 60603-2804

Mailing address

33 S State Street
Fifth Floor, Suite 100
Chicago, IL 60603-2804
Phone (773) 339-8812

National Provider Directory

National Provider Directory

Locations

33 S State St
Fl Fifth
Chicago, IL 60603
Phone (773) 339-8812

33 S State St
Ste 100
Chicago, IL 60603
Phone (773) 339-8812

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1669247250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S STATE STREET",
            "address_2": "FIFTH FLOOR, SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032804",
            "telephone_number": "773-339-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S STATE STREET",
            "address_2": "FIFTH FLOOR, SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032804",
            "telephone_number": "773-339-8812",
            "fax_number": "833-341-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAH CARE COORDINATION ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "BONACCORSI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "312-346-6599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Nov 24, 2023; 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.