Provider Demographics
NPI:1861976532
Name:MHN ACO, LLC
Entity type:Organization
Organization Name:MHN ACO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-394-9660
Mailing Address - Street 1:TWO PRUDENTIAL PLAZA
Mailing Address - Street 2:180 N. STETSON AVENUE, SUITE 600-1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:312-274-0126
Mailing Address - Fax:312-274-0555
Practice Address - Street 1:180 N. STETSON AVENUE, SUITE 600-1
Practice Address - Street 2:180 N. STETSON AVENUE, SUITE 600-1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601
Practice Address - Country:US
Practice Address - Phone:312-274-0126
Practice Address - Fax:312-274-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty