Brian A. King

LBN: Brian A. King
Brian A. King is an health care organization with primary practice located at 6142 Roosevelt Rd Suite 105, Oak Park IL 60304-2311. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Brian A. King can be contacted via phone (708) 848-0021, or through King, Brian A via phone (708) 848-0021.

Contact Information

Primary practice address
6142 Roosevelt Rd Suite 105 Oak Park IL 60304-2311
Phone: (708) 848-0021
Fax: (708) 848-0598
Website:
Map and Directions
Authorized official contact:
Name: King, Brian A
Phone: (708) 848-0021

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1639344781
LBN Legal business name Brian A. King
DBA Doing business as
Authorized official King, Brian A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated May 7th, 2008 - about 17 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 1639344781 NPPES
Illinois MEDICAID 016004091

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