Blue Bolt Pediatric Care

LBN: Blue Bolt Pediatric Care
Blue Bolt Pediatric Care is an health care organization with primary practice located at 800 Elgin Rd Apt 1218 , Evanston IL 60201-5628. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Blue Bolt Pediatric Care can be contacted via phone (917) 580-2599, or through Groben, Emily via phone (917) 580-2599.

Contact Information

Primary practice address
800 Elgin Rd Apt 1218 Evanston IL 60201-5628
Phone: (917) 580-2599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Groben, Emily M.S. ED., BCBA
Phone: (917) 580-2599

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1093551350
LBN Legal business name Blue Bolt Pediatric Care
DBA Doing business as
Authorized official Groben, Emily M.S. ED., BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2024
Last updated Jul 6th, 2024 - about 2 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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