Provider Demographics
NPI:1699860213
Name:HINSDALE PHYSICIANS HEALTHCARE ASSOCIATION, INC.
Entity Type:Organization
Organization Name:HINSDALE PHYSICIANS HEALTHCARE ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-551-0655
Mailing Address - Street 1:4415 WEST HARRISON STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162
Mailing Address - Country:US
Mailing Address - Phone:708-432-4000
Mailing Address - Fax:
Practice Address - Street 1:4415 WEST HARRISON STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162
Practice Address - Country:US
Practice Address - Phone:708-432-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization