OrganizationActive
The Metro Mentorship Initiative
NPI 1417310335 · Preferred Provider Organization · Chicago, IL
Provider details
- NPI number
- 1417310335
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lorne Massie, President(773) 595-4645
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1828 N Lowell Ave
Chicago, IL 60639-4818
Phone: (773) 595-4645
Street-level locationGet directions
Mailing address
1828 N Lowell Ave
Chicago, IL 60639-4818
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.