1811011901 NPI number — QV INC

Table of content: (NPI 1811011901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811011901 NPI number — QV INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QV INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UNIVERSITY OF CHICAGO PHYSICIANS GROUP-QV INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811011901
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
180 HARVESTER DR
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
BURR RIDGE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60527-5993
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-209-0027
Provider Business Mailing Address Fax Number:
773-702-0000

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7955 S CASS AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
DARIEN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60561-5132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-209-0027
Provider Business Practice Location Address Fax Number:
773-837-8260
Provider Enumeration Date:
03/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FINESILVER
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT, QV INC
Authorized Official Telephone Number:
773-702-9797

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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