Augusta Damen Medical Center Ltd

LBN: Augusta Damen Medical Center Ltd
Augusta Damen Medical Center Ltd is an health care organization with primary practice located at 948 N Damen Ave , Chicago IL 60622-4910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Augusta Damen Medical Center Ltd can be contacted via phone (773) 276-2655, or through Ahmed, Safia Sultana via phone (773) 276-2655.

Contact Information

Primary practice address
948 N Damen Ave Chicago IL 60622-4910
Phone: (773) 276-2655
Fax: (773) 276-2726
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Safia Sultana Doctor of Medicine (MD)
Phone: (773) 276-2655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036068577 Illinois

Profile Details

NPI number 1730353624
LBN Legal business name Augusta Damen Medical Center Ltd
DBA Doing business as
Authorized official Ahmed, Safia Sultana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Oct 6th, 2008 - about 16 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 1730353624 NPPES
Illinois MEDICAID 036068577

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