Carbondale Family Medicine,Llc

LBN: Carbondale Family Medicine,Llc
Carbondale Family Medicine,Llc is an health care organization with primary practice located at 1175 Cedar Ct , Carbondale IL 62901-5333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carbondale Family Medicine,Llc can be contacted via phone (618) 549-0300, or through Chaudhry, Mukesh via phone (618) 549-0300.

Contact Information

Primary practice address
1175 Cedar Ct Carbondale IL 62901-5333
Phone: (618) 549-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chaudhry, Mukesh Doctor of Medicine (MD)
Phone: (618) 549-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-107111 Illinois

Profile Details

NPI number 1518023530
LBN Legal business name Carbondale Family Medicine,Llc
DBA Doing business as
Authorized official Chaudhry, Mukesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 11th, 2011 - about 13 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 1518023530 NPPES
Illinois MEDICAID 036-107111

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