Boffa Surgical Group, Llc

LBN: Boffa Medical Group Llc
Boffa Surgical Group, Llc is an health care organization with primary practice located at 5140 N California Ave Suite 780, Chicago IL 60625-3645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Boffa Medical Group Llc can be contacted via phone (773) 273-6810, or through Boffa, James Frank via phone (773) 273-6810.

Contact Information

Primary practice address
5140 N California Ave Suite 780 Chicago IL 60625-3645
Phone: (773) 273-6810
Fax: (773) 273-5532
Website:
Map and Directions
Authorized official contact:
Name: Boffa, James Frank Doctor of Medicine (MD)
Phone: (773) 273-6810

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Illinois

Profile Details

NPI number 1689687527
LBN Legal business name Boffa Medical Group Llc
DBA Doing business as Boffa Surgical Group, Llc
Authorized official Boffa, James Frank Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Sep 28th, 2009 - 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 1689687527 NPPES
Illinois Other 0001630046 BCBS OF IL GROUP NUMBER

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