Crandon Emergency Physicians Llc

LBN: Crandon Emergency Physicians Llc
Crandon Emergency Physicians Llc is an health care organization with primary practice located at 8012 S Crandon Ave , Chicago IL 60617-1124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Crandon Emergency Physicians Llc can be contacted via phone (773) 356-5362, or through Vaughn, Karen via phone (973) 251-1132.

Contact Information

Primary practice address
8012 S Crandon Ave Chicago IL 60617-1124
Phone: (773) 356-5362
Fax: (773) 768-8154
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1376582783
LBN Legal business name Crandon Emergency Physicians Llc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 23rd, 2023 - about last year

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 1376582783 NPPES
Illinois Other 1633914 ILLINOIS BLUE SHIELD

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