Ellen M Hennecke Dosc
LBN: Ellen M Hennecke Dosc
Ellen M Hennecke Dosc is an health care organization with primary practice located at 3927 W 95Th St , Evergreen Park IL 60805-1903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Ellen M Hennecke Dosc can be contacted via phone (708) 799-8440, or through Wylie, Kim via phone (708) 799-8440.
Contact Information
Primary practice address
3927 W 95Th St
Evergreen Park IL 60805-1903
Phone: (708) 799-8440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
NPI number | 1780885657 |
---|---|
LBN Legal business name | Ellen M Hennecke Dosc |
DBA Doing business as | |
Authorized official | Wylie, Kim |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Aug 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780885657 | NPPES |
Illinois | Other | 01628066 | BLUE SHIELD |
Popular Providers
-
Pauline Wong-Hugh Md
2850 W 95Th St , Evergreen Park IL 60805-2735 -
Kasturi, P.C.
1111 Superior St Suite 507, Melrose Park IL 60160-4138 -
Richard E Odonnell Do Sc
3927 W 95Th St , Evergreen Park IL 60805-1903 -
Dr. Susan Rife Family Medicine Sc
10755 W 163 Place , Orland Park IL 60467 -
Ganapathi Gottumukkala
6701 159Th St Suite B, Tinley Park IL 60477-1758 -
Rush Presbyterian St. Lukes Medical Center
610 S Maple Ave Suite 3900, Oak Park IL 60304-1091 -
Saint Anthony Medical Center
9721 N Alpine Rd , Machesney Park IL 61115-1664 -
Hugh Medical Assoc
2850 W 95Th St #304, Evergreen Park IL 60805-2735