Dor Heart & Vascular, Pc

LBN: Dor Heart & Vascular, Pc
Dor Heart & Vascular, Pc is an health care organization with primary practice located at 20 Tower Ct Suite F, Gurnee IL 60031-5711. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Dor Heart & Vascular, Pc can be contacted via phone (847) 662-9420, or through Freeze, Tracy via phone (219) 926-8320.

Contact Information

Primary practice address
20 Tower Ct Suite F Gurnee IL 60031-5711
Fax: (847) 662-9457
Website:
Authorized official contact:
Name: Freeze, Tracy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036101942 Illinois

Profile Details

NPI number 1386818557
LBN Legal business name Dor Heart & Vascular, Pc
DBA Doing business as
Authorized official Freeze, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Jul 5th, 2011 - 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 1386818557 NPPES
Illinois MEDICAID 036101942
Illinois Other 1982718409

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