Bunker Hill Medical Clinic

LBN: Bunker Hill Medical Clinic
Bunker Hill Medical Clinic is an health care organization with primary practice located at 144 North Washington Street , Bunker Hill IL 62014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bunker Hill Medical Clinic can be contacted via phone (618) 585-6290, or through Laws, Gregg L. via phone (618) 585-6290.

Contact Information

Primary practice address
144 North Washington Street Bunker Hill IL 62014
Phone: (618) 585-6290
Fax: (618) 585-6293
Website:
Map and Directions
Authorized official contact:
Name: Laws, Gregg L. Doctor of Medicine (MD)
Phone: (618) 585-6290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036063415 Illinois

Profile Details

NPI number 1689874182
LBN Legal business name Bunker Hill Medical Clinic
DBA Doing business as
Authorized official Laws, Gregg L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Mar 25th, 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 1689874182 NPPES
Illinois Other 9900567 BLUE CROSS BLUE SHIELD
Illinois Other C43578 BLUE CROSS BLUE SHIELD
Illinois Other 134799 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036063415 BLUE CROSS BLUE SHIELD

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