Aamg Reach Pllc

LBN: Aamg Reach Pllc
Aamg Reach Pllc is an health care organization with primary practice located at 1357 W 103Rd St , Chicago IL 60643-2392. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Aamg Reach Pllc can be contacted via phone (773) 238-0800, or through Nelson, Nan via phone (414) 219-1610.

Contact Information

Primary practice address
1357 W 103Rd St Chicago IL 60643-2392
Phone: (773) 238-0800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Nan
Phone: (414) 219-1610

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1609502707
LBN Legal business name Aamg Reach Pllc
DBA Doing business as
Authorized official Nelson, Nan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2022
Last updated Oct 3rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609502707 NPPES
Wisconsin MEDICAID 100224369

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