Adolescent And Young Adult Place Ltd

LBN: Adolescent And Young Adult Place Ltd
Adolescent And Young Adult Place Ltd is an health care organization with primary practice located at 9 N Cicero Ave , Chicago IL 60644-3602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Adolescent And Young Adult Place Ltd can be contacted via phone (312) 859-2491, or through Bell, Margo Antoinette via phone (312) 859-2491.

Contact Information

Primary practice address
9 N Cicero Ave Chicago IL 60644-3602
Phone: (312) 859-2491
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bell, Margo Antoinette Doctor of Medicine (MD)
Phone: (312) 859-2491

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036086432 Illinois

Profile Details

NPI number 1417259979
LBN Legal business name Adolescent And Young Adult Place Ltd
DBA Doing business as
Authorized official Bell, Margo Antoinette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2010
Last updated Dec 3rd, 2010 - about 14 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 1417259979 NPPES
Illinois MEDICAID 036086432

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