Adult Internal Medicine Practice Llc

LBN: Adult Internal Medicine Practice Llc
Adult Internal Medicine Practice Llc is an health care organization with primary practice located at 15 Park Pl , Swansea IL 62226-2918. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Adult Internal Medicine Practice Llc can be contacted via phone (618) 257-0780, or through Ampadu, Charles W via phone (618) 257-0780.

Contact Information

Primary practice address
15 Park Pl Swansea IL 62226-2918
Phone: (618) 257-0780
Fax: (618) 257-0715
Website:
Map and Directions
Authorized official contact:
Name: Ampadu, Charles W Doctor of Medicine (MD)
Phone: (618) 257-0780

Health care specialties

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

Profile Details

NPI number 1265688238
LBN Legal business name Adult Internal Medicine Practice Llc
DBA Doing business as
Authorized official Ampadu, Charles W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2008
Last updated Sep 6th, 2021 - about 3 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 1265688238 NPPES
Illinois MEDICAID 036083270
Illinois Other 08227444
Illinois Other 32871

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