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Grand Victorian Of Sycamore, Llc
Point of Service in Sycamore, Illinois
NPI 1154527810

Grand Victorian Of Sycamore, Llc is a Point of Service based in Eugene, IL. Grand Victorian Of Sycamore, Llc practices in Sycamore, IL. The NPI Number for Grand Victorian Of Sycamore, Llc is 1154527810 and holds a License No. (Illinois).

The current practice location address for Grand Victorian Of Sycamore, Llc is 1440 Somonauk St, Sycamore, IL and can be reached out via phone at 815-895-1900 and via fax at 815-895-1901. You can also correspond with Grand Victorian Of Sycamore, Llc through the mailing address at 78 CENTENNIAL LOOP, EUGENE, OR - 97401-7900 (mailing address contact number: 541-747-3373).

Location: 1440 Somonauk St, Sycamore, IL, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154527810
Provider Name
Grand Victorian Of Sycamore, Llc
Credential
Provider Entity Type
Organization
Address
1440 Somonauk St, Sycamore, IL, 97401-7900
Phone Number
815-895-1900
Fax Number
815-895-1901
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1440 Somonauk St
City
Sycamore
State
Illinois
Zip
60178-2916
Phone Number
815-895-1900
Fax Number
815-895-1901
person
Provider Business Mailing Address Details
Address
1440 Somonauk St
City
Sycamore
State
Illinois
Zip
60178-2916
Phone Number
815-895-1900
Fax Number
815-895-1901
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
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Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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