Family Medicine For Mchenry County

LBN: Family Medicine For Mchenry County
Family Medicine For Mchenry County is an health care organization with primary practice located at 1095 Pingree Rd Suite 108, Crystal Lake IL 60014-1725. 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 For Mchenry County can be contacted via phone (847) 658-2400, or through Lesser, Michael via phone (847) 658-2400.

Contact Information

Primary practice address
1095 Pingree Rd Suite 108 Crystal Lake IL 60014-1725
Phone: (847) 658-2400
Fax: (847) 658-7755
Website:
Map and Directions
Authorized official contact:
Name: Lesser, Michael Doctor of Medicine (MD)
Phone: (847) 658-2400

Health care specialties

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

Profile Details

NPI number 1174503510
LBN Legal business name Family Medicine For Mchenry County
DBA Doing business as
Authorized official Lesser, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2006
Last updated May 20th, 2021 - about 3 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 1174503510 NPPES
Illinois Other 5615119 BCBS PROVIDER NUMBER

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