Midwest Post Acute Care Aco PLLC
Nurse Practitioner in Chicago, IL. Organization (NPI-2).
NPI number1457926537
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1457926537
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Post Acute Care Aco PLLC
- Organization subpart
- No
- Enumeration date
- May 21, 2021
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
3000 N Halsted St Ste 803Chicago, IL 60657-6185
Phone 888-705-8722 · Fax 888-705-8722
Mailing address
2045 W Grand Ave Ste B #28354Chicago, IL 60612-1577
Phone 888-705-8722 · Fax 888-705-8722
Authorized official
Sean C Cannone
Owner
3303283167
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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