Illinois Health Practice Alliance, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ILLINOIS HEALTH PRACTICE ALLIANCE, LLC

Practice address

77 W Wacker Dr Ste 1200
Chicago, IL 60601-1712

Phone

(312) 619-3010

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

David M Berkey

Title

Chief Executive Officer

Phone

(312) 619-3010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1760966675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WACKER DR STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WACKER DR STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011712",
            "telephone_number": "312-619-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS HEALTH PRACTICE ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "BERKEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-619-3010"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.