Dekalb Clinic Chartered

LBN: Dekalb Clinic Chartered
Dekalb Clinic Chartered is an health care organization with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Wound Care, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Dekalb Clinic Chartered can be contacted via phone (815) 758-8671, or through Haab, Roger L via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax: (815) 758-5610
Website:
Map and Directions
Authorized official contact:
Name: Haab, Roger L Doctor of Medicine (MD)
Phone: (815) 758-8671

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois
Nursing Service Providers / Wound Care 163WW0000X
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036119759 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036120383 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005282 Illinois

Profile Details

NPI number 1447277140
LBN Legal business name Dekalb Clinic Chartered
DBA Doing business as
Authorized official Haab, Roger L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 30th, 2013 - about 11 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 1447277140 NPPES
Illinois Other 14D0415284 CLIA #
Illinois Other 1421279 CLIA #
Illinois Other 663680 CLIA #
Illinois Other 148547 CLIA #

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