NPI 1538597661

Kcmso, LLC

Organisation Health Maintenance Organization Mokena, IL

Practice location

Address: 8525 W 191st St, Mokena, IL 60448-8443
Phone: (877) 226-3676
Mailing address: PO Box 728, Frankfort, IL 60423-0728

Authorised official

Name: Kevin Hnatusko
Title: Executive Director
Phone: (877) 226-3676

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1538597661
Entity type: Organization
NPI issued: 29 Oct 2013
Record last updated: 29 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.