Healthstop

LBN: Berwyn Emergency Services Sc
Healthstop is an health care organization with primary practice located at 3635 Harlem Ave , Berwyn IL 60402-3212. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Berwyn Emergency Services Sc can be contacted via phone (708) 447-9402, or through Jethani, Manohar L via phone (708) 447-9402.

Contact Information

Primary practice address
3635 Harlem Ave Berwyn IL 60402-3212
Fax: (708) 447-3246
Website:
Authorized official contact:
Name: Jethani, Manohar L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036046173 Illinois

Profile Details

NPI number 1184701328
LBN Legal business name Berwyn Emergency Services Sc
DBA Doing business as Healthstop
Authorized official Jethani, Manohar L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 30th, 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 1184701328 NPPES
Illinois Other 01616688 BC/BS PROVIDER #

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