NPI 1104073576

Ipa of Kane County

Organisation Health Maintenance Organization Mokena, IL

Practice location

Address: 8529 W. 191st Street, Mokena, IL 60448
Phone: (877) 226-3676
Fax: (877) 226-3811
Mailing address: P.O. Box 728, Frankfort, IL 60423

Authorised official

Name: Kevin N. Hnatusko
Title: Administrator
Phone: (877) 226-3676

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Illinois →

Registry record

NPI: 1104073576
Entity type: Organization
NPI issued: 27 Aug 2008
Record last updated: 26 Oct 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.