D.O.C, Family Practice, S.C.

LBN: D.O.C, Family Practice, S.C.
D.O.C, Family Practice, S.C. is an health care organization with primary practice located at 6300 Roosevelt Rd , Oak Park IL 60304-2303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. D.O.C, Family Practice, S.C. can be contacted via phone (708) 383-6333, or through Peoples, Crystal Ann via phone (708) 383-6333.

Contact Information

Primary practice address
6300 Roosevelt Rd Oak Park IL 60304-2303
Phone: (708) 383-6333
Fax: (708) 383-6347
Website:
Map and Directions
Authorized official contact:
Name: Peoples, Crystal Ann Doctor of Medicine (MD)
Phone: (708) 383-6333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036075404 Illinois

Profile Details

NPI number 1861750036
LBN Legal business name D.O.C, Family Practice, S.C.
DBA Doing business as
Authorized official Peoples, Crystal Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - 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 1861750036 NPPES
Illinois Other 1588775696 MEDICARE

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