Meridian Health Plan of Illinois, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MERIDIAN HEALTH PLAN OF ILLINOIS, INC.

Practice address

300 S Riverside PLZ Ste 500
Chicago, IL 60606-6641

Phone

(813) 206-6200

NPI assigned

Aug 1, 2019

Organization subpart

Yes

Parent organization

WELLCARE OF MICHIGAN HOLDING COMPANYAs reported in NPPES

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

Authorized official

Name

Michael W. Haber

Title

VP & Secretary

Phone

(813) 206-3252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1740834233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-206-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RIVERSIDE PLZ STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066641",
            "telephone_number": "813-206-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH PLAN OF ILLINOIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE OF MICHIGAN HOLDING COMPANY",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-3252"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dyer Merg, MD
• Michelle Merget, OT
• Alexis Merica, LSW, TYPE 73
• Brandon Merical, MD
• Meridian Behavioral Health Services
• Meridian Physician Group PLLC
• Meridian Psychiatric Partners, LLC
• Matthew Meriggioli, M.D.
• Saul Merin, MD
• Pamela Imelda Merino Hernandez, LCSW

• Health Maintenance Organization in Chicago, IL
• Providers in Chicago, 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 Aug 1, 2019; 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.