Boffa Surgical Group Llc

LBN: Carlos Ortega Md Sc
Boffa Surgical Group Llc is an health care organization with primary practice located at 5140 N California Ave Ste 780 , Chicago IL 60625-7066. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Carlos Ortega Md Sc can be contacted via phone (773) 235-8887, or through Ortega, Carlos D via phone (773) 235-8887.

Contact Information

Primary practice address
5140 N California Ave Ste 780 Chicago IL 60625-7066
Phone: (773) 235-8887
Fax: (773) 235-8882
Website:
Map and Directions
Authorized official contact:
Name: Ortega, Carlos D Doctor of Medicine (MD)
Phone: (773) 235-8887

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036100042 Illinois
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036100042 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036100042 Illinois

Profile Details

NPI number 1295753093
LBN Legal business name Carlos Ortega Md Sc
DBA Doing business as Boffa Surgical Group Llc
Authorized official Ortega, Carlos D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295753093 NPPES
Illinois MEDICAID 036100042
Illinois Other 1630046
Illinois Other 1629966

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