Healthcare Provider Details

I. General information

NPI: 1447627351
Provider Name (Legal Business Name): HAA PREFERRED PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S MICHIGAN AVE SUITE 1100
CHICAGO IL
60603-6191
US

IV. Provider business mailing address

703 WATERFORD WAY SUITE 390
MIAMI FL
33126-4679
US

V. Phone/Fax

Practice location:
  • Phone: 312-935-3500
  • Fax:
Mailing address:
  • Phone: 312-935-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number036126820
License Number StateIL

VIII. Authorized Official

Name: DR. AMIT DILIP ARWINDEKAR
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 312-935-3500