C.G.Peters Llc

LBN: C.G.Peters Llc
C.G.Peters Llc is an health care organization with primary practice located at 13305 S Ridgeland Ave Unit B, Palos Heights IL 60463-1808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. C.G.Peters Llc can be contacted via phone (708) 389-9226, or through Peters, Constantine G via phone (708) 389-9226.

Contact Information

Primary practice address
13305 S Ridgeland Ave Unit B Palos Heights IL 60463-1808
Phone: (708) 389-9226
Fax: (708) 389-2004
Website:
Map and Directions
Authorized official contact:
Name: Peters, Constantine G Doctor of Osteopathy (DO)
Phone: (708) 389-9226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036107020 Illinois

Profile Details

NPI number 1215021647
LBN Legal business name C.G.Peters Llc
DBA Doing business as
Authorized official Peters, Constantine G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 4th, 2012 - about 12 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 1215021647 NPPES
Illinois MEDICAID 036107020

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