Bormes Urology, S.C.

LBN: Bormes Urology, S.C.
Bormes Urology, S.C. is an health care organization with primary practice located at 900 N Westmoreland Rd Suite 128, Lake Forest IL 60045-1674. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bormes Urology, S.C. can be contacted via phone (847) 625-6590, or through Bormes, Thomas via phone (847) 625-6590.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 128 Lake Forest IL 60045-1674
Phone: (847) 625-6590
Fax: (847) 625-6592
Website:
Map and Directions
Authorized official contact:
Name: Bormes, Thomas Doctor of Medicine (MD)
Phone: (847) 625-6590

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1205038015
LBN Legal business name Bormes Urology, S.C.
DBA Doing business as
Authorized official Bormes, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 17th, 2008 - 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 1205038015 NPPES
Other 1637650 BCBS
MEDICAID 36072689 BCBS

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