Dubois-Douglas, Inc.

LBN: Dubois-Douglas, Inc.
Dubois-Douglas, Inc. is an health care organization with primary practice located at 1016 W Jackson Blvd , Chicago IL 60607-2914. The organization recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Point of Service. Agencies / In Home Supportive Care is the primary health care specialty. Dubois-Douglas, Inc. can be contacted via phone (312) 288-8640, or through Martins-Mensah, Funmi via phone (815) 295-3146.

Contact Information

Primary practice address
1016 W Jackson Blvd Chicago IL 60607-2914
Phone: (312) 288-8640
Fax: (312) 243-1516
Website:
Map and Directions
Authorized official contact:
Name: Martins-Mensah, Funmi
Phone: (815) 295-3146

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 12HM519014 Illinois
Agencies / In Home Supportive Care 253Z00000X QMXHPQ0915 Illinois
Managed Care Organizations / Health Maintenance Organization 302R00000X 44CSA00737 Illinois
Managed Care Organizations / Point of Service 305S00000X QXIPQ0000096439 Illinois

Profile Details

NPI number 1982046355
LBN Legal business name Dubois-Douglas, Inc.
DBA Doing business as
Authorized official Martins-Mensah, Funmi
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2013
Last updated Oct 20th, 2016 - about 8 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 1982046355 NPPES
Illinois MEDICAID 0802
Illinois MEDICAID 0100
Illinois MEDICAID 0301
Illinois MEDICAID 0302

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