Epmg Of Illinois Llc

LBN: Epmg Of Illinois Llc
Epmg Of Illinois Llc is an health care organization with primary practice located at 350 N Wall St , Kankakee IL 60901-2901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Epmg Of Illinois Llc can be contacted via phone (469) 401-2386, or through Mikhail, Mike via phone (973) 251-1132.

Contact Information

Primary practice address
350 N Wall St Kankakee IL 60901-2901
Phone: (469) 401-2386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mikhail, Mike Doctor of Medicine (MD)
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1528098902
LBN Legal business name Epmg Of Illinois Llc
DBA Doing business as
Authorized official Mikhail, Mike Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 31st, 2020 - about 5 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 1528098902 NPPES
Illinois Other 07223735 BC/BS OF ILLINOIS

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