Dupage Meta-Vascular Medicine Pc

LBN: Dupage Meta-Vascular Medicine Pc
Dupage Meta-Vascular Medicine Pc is an health care organization with primary practice located at 245 S Gary Ave Suite 202, Bloomingdale IL 60108-2228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Dupage Meta-Vascular Medicine Pc can be contacted via phone (630) 893-2190, or through Kosiek, Barbara Mary via phone (630) 893-2190.

Contact Information

Primary practice address
245 S Gary Ave Suite 202 Bloomingdale IL 60108-2228
Fax: (630) 307-8716
Website:
Authorized official contact:
Name: Kosiek, Barbara Mary

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036047587 Illinois

Profile Details

NPI number 1366581811
LBN Legal business name Dupage Meta-Vascular Medicine Pc
DBA Doing business as
Authorized official Kosiek, Barbara Mary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 4th, 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 1366581811 NPPES
Illinois Other 2232209 BLUE SHIELD NUMBER
Illinois Other 1366581811 BLUE SHIELD NUMBER
Illinois Other P00843099 BLUE SHIELD NUMBER

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