Provider Demographics
NPI:1619008935
Name:HOLY CROSS HEALTH PARTNERS
Entity Type:Organization
Organization Name:HOLY CROSS HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELODI
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-432-0010
Mailing Address - Street 1:4415 HARRISON ST
Mailing Address - Street 2:300
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162-1910
Mailing Address - Country:US
Mailing Address - Phone:708-432-4000
Mailing Address - Fax:708-432-4077
Practice Address - Street 1:4415 HARRISON ST
Practice Address - Street 2:300
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-1910
Practice Address - Country:US
Practice Address - Phone:708-432-4000
Practice Address - Fax:708-432-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization