Burgos Fuentes Service Corporation

LBN: Burgos Fuentes Service Corporation
Burgos Fuentes Service Corporation is an health care organization with primary practice located at 229 W Grand Ave Ste Qw , Bensenville IL 60106-3373. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Burgos Fuentes Service Corporation can be contacted via phone (630) 422-1917, or through Burgos, Miguel A via phone (630) 422-1917.

Contact Information

Primary practice address
229 W Grand Ave Ste Qw Bensenville IL 60106-3373
Phone: (630) 422-1917
Fax: (630) 422-7226
Website:
Map and Directions
Authorized official contact:
Name: Burgos, Miguel A Doctor of Medicine (MD)
Phone: (630) 422-1917

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036103673 Illinois

Profile Details

NPI number 1154491348
LBN Legal business name Burgos Fuentes Service Corporation
DBA Doing business as
Authorized official Burgos, Miguel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 1st, 2011 - about 14 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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