Bochantin Obstetrics & Gynecology Services Ltd

LBN: Bochantin Obstetrics & Gynecology Services Ltd
Bochantin Obstetrics & Gynecology Services Ltd is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 308, Peoria IL 61614-5098. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Bochantin Obstetrics & Gynecology Services Ltd can be contacted via phone (309) 692-5100, or through Tomlinson, Marla via phone (309) 692-5100.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 308 Peoria IL 61614-5098
Fax: (309) 692-1400
Website:
Authorized official contact:
Name: Tomlinson, Marla

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036098292 Illinois

Profile Details

NPI number 1811016702
LBN Legal business name Bochantin Obstetrics & Gynecology Services Ltd
DBA Doing business as
Authorized official Tomlinson, Marla
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Sep 7th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811016702 NPPES
Illinois MEDICAID 036098292
Illinois Other 09032023
Illinois Other 447752

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