Antioch Clinic,Llc

LBN: Antioch Clinic,Llc
Antioch Clinic,Llc is an health care organization with primary practice located at 707 Main St , Antioch IL 60002-1321. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Antioch Clinic,Llc can be contacted via phone (847) 395-1560, or through Thain, Dennis A via phone (847) 395-1560.

Contact Information

Primary practice address
707 Main St Antioch IL 60002-1321
Fax: (847) 395-4864
Website:
Authorized official contact:
Name: Thain, Dennis A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36070072 Illinois

Profile Details

NPI number 1376686204
LBN Legal business name Antioch Clinic,Llc
DBA Doing business as
Authorized official Thain, Dennis A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 22nd, 2020 - about 4 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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