NPI 1003248378

Break4health

Organisation Health Maintenance Organization Northbrook, IL

Practice location

Address: 1535 Lake Cook Rd #112, Northbrook, IL 60062-1447
Phone: (224) 235-4758
Mailing address: 401 Huehl Rd 2a, Northbrook, IL 60062-2300

Authorised official

Name: Jennifer L Mandell
Title: President/Ceo
Phone: (847) 309-7698

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2137912 (IL)

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Registry record

NPI: 1003248378
Entity type: Organization
NPI issued: 8 Aug 2013
Record last updated: 8 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.