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
Phone: (309) 692-5100
Fax: (309) 692-1400
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811016702 | NPPES |
Illinois | MEDICAID | 036098292 | |
Illinois | Other | 09032023 | |
Illinois | Other | 447752 |
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