Family Medical Group Of Lagrange

LBN: Family Medical Group Of Lagrange
Family Medical Group Of Lagrange is an health care organization with primary practice located at 1415 W 47Th St , La Grange IL 60525-6136. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Family Medical Group Of Lagrange can be contacted via phone (708) 579-9375, or through Bartolomeo, Olga via phone (708) 579-9375.

Contact Information

Primary practice address
1415 W 47Th St La Grange IL 60525-6136
Phone: (708) 579-9375
Fax: (708) 579-9378
Website:
Map and Directions
Authorized official contact:
Name: Bartolomeo, Olga
Phone: (708) 579-9375

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1609806421
LBN Legal business name Family Medical Group Of Lagrange
DBA Doing business as
Authorized official Bartolomeo, Olga
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 11th, 2007 - about 17 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 1609806421 NPPES
Illinois Other 521400 MEDICARE GROUP

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