Family Medicine Associates Of Lutheran General S C

LBN: Family Medicine Associates Of Lutheran General S C
Family Medicine Associates Of Lutheran General S C is an health care organization with primary practice located at 7900 N Milwaukee Ave Suite 233, Niles IL 60714-3159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Associates Of Lutheran General S C can be contacted via phone (847) 967-9660, or through Geismar, Debroah via phone (847) 967-9660.

Contact Information

Primary practice address
7900 N Milwaukee Ave Suite 233 Niles IL 60714-3159
Fax: (847) 470-9323
Website:
Authorized official contact:
Name: Geismar, Debroah Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036073437 Illinois

Profile Details

NPI number 1033295415
LBN Legal business name Family Medicine Associates Of Lutheran General S C
DBA Doing business as
Authorized official Geismar, Debroah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2006
Last updated Jun 18th, 2008 - about 16 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 1033295415 NPPES
Illinois MEDICAID 036073437
Illinois Other 01623792

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