OrganizationActive
Mso Great Lakes, Inc.
NPI 1538663679 · Health Maintenance Organization · Chicago, IL
Mso Great Lakes, Inc. is a Health Maintenance Organization organization in Chicago, IL (NPI 1538663679).
Provider details
- NPI number
- 1538663679
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Dara Ellingson, Chief Operating Officer(773) 695-4800
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5860 W Higgins Ave
Chicago, IL 60630-2372
Phone: (773) 695-4800
Fax: (773) 864-9418
Street-level locationGet directions
Mailing address
5860 W Higgins Ave
Chicago, IL 60630-2372
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2018-06-16
Frequently asked questions
- What is Mso Great Lakes, Inc.'s NPI number?
- Mso Great Lakes, Inc.'s National Provider Identifier (NPI) is 1538663679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mso Great Lakes, Inc.?
- Mso Great Lakes, Inc. is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Mso Great Lakes, Inc. located?
- Mso Great Lakes, Inc.'s practice location on file with NPPES is 5860 W Higgins Ave, Chicago, IL 60630-2372.
- What is Mso Great Lakes, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mso Great Lakes, Inc. is (773) 695-4800.
- Who is the authorized official for Mso Great Lakes, Inc.?
- The authorized official listed on Mso Great Lakes, Inc.'s NPPES record is Dara Ellingson, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mso Great Lakes, Inc.'s NPI active?
- Yes — Mso Great Lakes, Inc.'s NPI (1538663679) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.