Healthcare Provider Details

I. General information

NPI: 1851303473
Provider Name (Legal Business Name): PARTNERS IN HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 W 64TH ST STE N270
CHICAGO IL
60621-3114
US

IV. Provider business mailing address

326 W 64TH ST STE N270
CHICAGO IL
60621-3114
US

V. Phone/Fax

Practice location:
  • Phone: 773-962-4386
  • Fax: 773-602-3844
Mailing address:
  • Phone: 773-962-4386
  • Fax: 773-602-3844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: NINA S. ENGLEMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 773-962-4188