Provider Demographics
NPI:1508163957
Name:PATHFINDER HEALTH
Entity Type:Organization
Organization Name:PATHFINDER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-757-8686
Mailing Address - Street 1:1582 OLD DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3054
Mailing Address - Country:US
Mailing Address - Phone:847-686-7284
Mailing Address - Fax:847-686-7284
Practice Address - Street 1:1582 OLD DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3054
Practice Address - Country:US
Practice Address - Phone:847-686-7284
Practice Address - Fax:847-686-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health