Antonio Senat Md Ltd

LBN: Antonio Senat Md Ltd
Antonio Senat Md Ltd is an health care organization with primary practice located at 2201 W Roosevelt Rd , Broadview IL 60155-3812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Antonio Senat Md Ltd can be contacted via phone (708) 343-5773, or through Polyakov, Diana via phone (847) 897-5995.

Contact Information

Primary practice address
2201 W Roosevelt Rd Broadview IL 60155-3812
Phone: (708) 343-5773
Fax: (708) 343-2649
Website:
Map and Directions
Authorized official contact:
Name: Polyakov, Diana
Phone: (847) 897-5995

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036047085 Illinois

Profile Details

NPI number 1124237045
LBN Legal business name Antonio Senat Md Ltd
DBA Doing business as Antonio Senat Md Ltd
Authorized official Polyakov, Diana
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jan 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124237045 NPPES
Illinois MEDICAID 036047085

Popular Providers