OrganizationActive
Statewide Agency
NPI 1881054757 · Supports Brokerage Agency · Glenview, IL
Provider details
- NPI number
- 1881054757
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Hak Jin, President(847) 724-3600
- License
- 100287909 (IL)
Specialties & taxonomies
Agencies
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
1920 Waukegan Rd
Suite 5
Glenview, IL 60025-1717
Phone: (847) 724-3600
Fax: (847) 241-0202
Street-level locationGet directions
Mailing address
1920 Waukegan Road
Glenview, IL 60025
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2016-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.