Asmsc-Morton Grove Il Sc

LBN: Asmsc-Morton Grove Il Sc
Asmsc-Morton Grove Il Sc is an health care organization with primary practice located at 9300 Waukegan Rd , Morton Grove IL 60053-1312. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Asmsc-Morton Grove Il Sc can be contacted via phone (847) 299-1044, or through Brown, Clarence W via phone (269) 985-0021.

Contact Information

Primary practice address
9300 Waukegan Rd Morton Grove IL 60053-1312
Phone: (847) 299-1044
Fax: (847) 299-0425
Website:
Map and Directions
Authorized official contact:
Name: Brown, Clarence W M.D., J.D.
Phone: (269) 985-0021

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X

Profile Details

NPI number 1679158174
LBN Legal business name Asmsc-Morton Grove Il Sc
DBA Doing business as
Authorized official Brown, Clarence W M.D., J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 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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