Dr. Elom Amuzu Llc

LBN: Dr. Elom Amuzu Llc
Dr. Elom Amuzu Llc is an health care organization with primary practice located at 18237 Kedzie Ave , Homewood IL 60430-1411. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dr. Elom Amuzu Llc can be contacted via phone (708) 299-0035, or through Amuzu, Elom via phone (312) 292-9753.

Contact Information

Primary practice address
18237 Kedzie Ave Homewood IL 60430-1411
Phone: (708) 299-0035
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Amuzu, Elom PHD
Phone: (312) 292-9753

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1508470774
LBN Legal business name Dr. Elom Amuzu Llc
DBA Doing business as
Authorized official Amuzu, Elom PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2020
Last updated Nov 8th, 2020 - about 4 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 1508470774 NPPES
Illinois Other 071010304 PROFESSIONAL LICENSE NO

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