Bridgewell Llc
LBN: Bridgewell Llc
Bridgewell Llc is an health care organization with primary practice located at 402 W Boughton Rd Ste A , Bolingbrook IL 60440-1998. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty.
Bridgewell Llc can be contacted via phone (312) 451-6148, or through Ogbomo, Isoken via phone (312) 451-6418.
Contact Information
Primary practice address
402 W Boughton Rd Ste A
Bolingbrook IL 60440-1998
Phone: (312) 451-6148
Fax:
Website:
Authorized official contact:
Name: Ogbomo, Isoken Family Nurse Practitioner (FNP)
Phone: (312) 451-6418
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1972296382 |
|---|---|
| LBN Legal business name | Bridgewell Llc |
| DBA Doing business as | |
| Authorized official | Ogbomo, Isoken Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2023 |
| Last updated | Sep 1st, 2023 - about last year |
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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