Provider Demographics
NPI:1013004266
Name:SILVER CROSS MANAGED CARE ORGANIZATION
Entity Type:Organization
Organization Name:SILVER CROSS MANAGED CARE ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-740-7007
Mailing Address - Street 1:1200 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60432-1439
Mailing Address - Country:US
Mailing Address - Phone:815-740-7118
Mailing Address - Fax:815-740-7901
Practice Address - Street 1:1200 MAPLE RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-1439
Practice Address - Country:US
Practice Address - Phone:815-740-7118
Practice Address - Fax:815-740-7901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVER CROSS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-09
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization