Amar L Dave

LBN: Amar L Dave
Amar L Dave is an health care organization with primary practice located at 1209 Starfire Dr Suite 1, Ottawa IL 61350-1614. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Amar L Dave can be contacted via phone (815) 434-2115, or through Dave, Amar Lal via phone (815) 434-2115.

Contact Information

Primary practice address
1209 Starfire Dr Suite 1 Ottawa IL 61350-1614
Phone: (815) 434-2115
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dave, Amar Lal Doctor of Medicine (MD)
Phone: (815) 434-2115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036057338 Illinois

Profile Details

NPI number 1720523731
LBN Legal business name Amar L Dave
DBA Doing business as
Authorized official Dave, Amar Lal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2016
Last updated Dec 29th, 2016 - about 8 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 1720523731 NPPES
Illinois MEDICAID 036057338

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