Family Medical Center Of Bolingbrook Sc

LBN: Family Medical Center Of Bolingbrook Sc
Family Medical Center Of Bolingbrook Sc is an health care organization with primary practice located at 516 E Boughton Rd , Bolingbrook IL 60440-2181. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Family Medical Center Of Bolingbrook Sc can be contacted via phone (630) 739-2878, or through Carlino, Antonio via phone (630) 739-2878.

Contact Information

Primary practice address
516 E Boughton Rd Bolingbrook IL 60440-2181
Phone: (630) 739-2878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carlino, Antonio Doctor of Osteopathy (DO)
Phone: (630) 739-2878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 036-098970 Illinois

Profile Details

NPI number 1376668475
LBN Legal business name Family Medical Center Of Bolingbrook Sc
DBA Doing business as
Authorized official Carlino, Antonio Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376668475 NPPES
Illinois Other 556070 MEDICARE GRP#

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