Fairview Ogden Medical Group
LBN: Fairview Ogden Medical Group Ltd.
Fairview Ogden Medical Group is an health care organization with primary practice located at 4121 Fairview Ave Suite # 100, Downers Grove IL 60515-2264. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Fairview Ogden Medical Group Ltd. can be contacted via phone (630) 968-4790, or through Syed, Zainulabuddin via phone (630) 968-4790.
Contact Information
Primary practice address
4121 Fairview Ave Suite # 100
Downers Grove IL 60515-2264
Phone: (630) 968-4790
Fax: (630) 968-8755
Website:
Authorized official contact:
Name: Syed, Zainulabuddin Doctor of Medicine (MD)
Phone: (630) 968-4790
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-091132 | Illinois |
Profile Details
| NPI number | 1962683359 |
|---|---|
| LBN Legal business name | Fairview Ogden Medical Group Ltd. |
| DBA Doing business as | Fairview Ogden Medical Group |
| Authorized official | Syed, Zainulabuddin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 24th, 2010 - about 14 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 | 1962683359 | NPPES |
| Illinois | MEDICAID | 036091132 | |
| Illinois | Other | 1609876424 |
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