Addison-Central Pathology Pllc

LBN: Addison-Central Pathology Pllc
Addison-Central Pathology Pllc is an health care organization with primary practice located at 5645 W Addison St , Chicago IL 60634-4403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Addison-Central Pathology Pllc can be contacted via phone (773) 282-7000, or through Aduana, Ven via phone (847) 757-7515.

Contact Information

Primary practice address
5645 W Addison St Chicago IL 60634-4403
Phone: (773) 282-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aduana, Ven Doctor of Medicine (MD)
Phone: (847) 757-7515

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1902902281
LBN Legal business name Addison-Central Pathology Pllc
DBA Doing business as
Authorized official Aduana, Ven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 29th, 2024 - about 9 months 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 1902902281 NPPES
Illinois Other 01633170 BCBS IL
Illinois Other DA0104 BCBS IL

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