Blue Diamond Health Care Llc

LBN: Blue Diamond Health Care Llc
Blue Diamond Health Care Llc is an health care organization with primary practice located at 2749 W North Ave , Chicago IL 60647-5246. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Blue Diamond Health Care Llc can be contacted via phone (773) 292-9660, or through Vacracos, James James via phone (219) 765-3431.

Contact Information

Primary practice address
2749 W North Ave Chicago IL 60647-5246
Phone: (773) 292-9660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vacracos, James James Physician's Assistant Certified (PA-C)
Phone: (219) 765-3431

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1669797437
LBN Legal business name Blue Diamond Health Care Llc
DBA Doing business as
Authorized official Vacracos, James James Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2010
Last updated Apr 5th, 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.

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