Child & Adolescent Health Assoc Ltd

LBN: Child & Adolescent Health Assoc Ltd
Child & Adolescent Health Assoc Ltd is an health care organization with primary practice located at 1030 N Clark St Suite 400, Chicago IL 60610-5467. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Child & Adolescent Health Assoc Ltd can be contacted via phone (312) 943-6964, or through Clark, Aleta via phone (312) 943-6964.

Contact Information

Primary practice address
1030 N Clark St Suite 400 Chicago IL 60610-5467
Phone: (312) 943-6964
Fax: (312) 943-6924
Website:
Map and Directions
Authorized official contact:
Name: Clark, Aleta Doctor of Medicine (MD)
Phone: (312) 943-6964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1346230299
LBN Legal business name Child & Adolescent Health Assoc Ltd
DBA Doing business as
Authorized official Clark, Aleta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 25th, 2009 - about 16 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 1346230299 NPPES
Illinois MEDICAID 036051208

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