Illinois. Exclusive Provider Organization. Taxonomy Code 302F00000X(302f00000x)

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A

Arlington Heights 1

B

Beach Park 1

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C

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Hickory Hills 2

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Willowbrook 2

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Exclusive Provider Organization Providers

NPI	Name	Type	Address
1245358761	Diagnostic P.e.t. Network, Llc	Organization	19065 Hickory Creek Pl Suite 240 Mokena, IL
1346363553	Villa House, Inc	Organization	1112 Washington Ave Johnston City, IL
1801014295	Dr. Gerry Aylward	Organization	7310 W North Ave Ste. 2a Elmwood Park, IL
1891386116	Pathways Behavioral Health Network, Llc	Organization	2601 Navistar Dr Lisle, IL
1932635083	Ssd Medical Group Inc	Organization	12151 Regency Pkwy Ste 12165 Huntley, IL
1356098958	Great Hearing Benefits Llc	Organization	2601 Patriot Blvd Glenview, IL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code	302F00000X
Display Name	Exclusive Provider Organization
Taxonomy Group	Managed Care Organizations
Taxonomy Classification	Exclusive Provider Organization
Definition	(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Effective Date	September 30, 2009