Boyd Obstetrics & Gynecology, S.C.

LBN: Boyd Obstetrics & Gynecology, S.C.
Boyd Obstetrics & Gynecology, S.C. is an health care organization with primary practice located at 900 Main St Ste 660 , Peoria IL 61602-1060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Boyd Obstetrics & Gynecology, S.C. can be contacted via phone (309) 272-7735, or through Clark, Paula M via phone (309) 687-4242.

Contact Information

Primary practice address
900 Main St Ste 660 Peoria IL 61602-1060
Fax: (309) 272-7704
Website:
Authorized official contact:
Name: Clark, Paula M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036084069 Illinois

Profile Details

NPI number 1245358381
LBN Legal business name Boyd Obstetrics & Gynecology, S.C.
DBA Doing business as
Authorized official Clark, Paula M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 2nd, 2010 - about 15 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 1245358381 NPPES
Illinois Other 4623406 AETNA
Illinois Other 008992 AETNA
Illinois Other 7205412 AETNA
Illinois Other 263252 AETNA
Illinois MEDICAID 036084069 AETNA

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