Burr Ridge Family Practice , Ltd.

LBN: Burr Ridge Family Practice , Ltd.
Burr Ridge Family Practice , Ltd. is an health care organization with primary practice located at 11 Salt Creek Ln Ste 125 , Hinsdale IL 60521-2902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Burr Ridge Family Practice , Ltd. can be contacted via phone (630) 655-1177, or through Ciungan, Porfira via phone (847) 735-9330.

Contact Information

Primary practice address
11 Salt Creek Ln Ste 125 Hinsdale IL 60521-2902
Phone: (630) 655-1177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ciungan, Porfira
Phone: (847) 735-9330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1790891877
LBN Legal business name Burr Ridge Family Practice , Ltd.
DBA Doing business as
Authorized official Ciungan, Porfira
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 20th, 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 1790891877 NPPES
Illinois Other 2232216 BC/BS OF IL PROVIDER #

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