Family Physicians Of Madison County Ltd

LBN: Family Physicians Of Madison County Ltd
Family Physicians Of Madison County Ltd is an health care organization with primary practice located at 3 Junction Dr W , Glen Carbon IL 62034-2916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Physicians Of Madison County Ltd can be contacted via phone (618) 288-5088, or through Weber, Raymond K via phone (618) 288-5088.

Contact Information

Primary practice address
3 Junction Dr W Glen Carbon IL 62034-2916
Phone: (618) 288-5088
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weber, Raymond K Doctor of Medicine (MD)
Phone: (618) 288-5088

Health care specialties

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

Profile Details

NPI number 1093711905
LBN Legal business name Family Physicians Of Madison County Ltd
DBA Doing business as
Authorized official Weber, Raymond K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 21st, 2022 - 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 1093711905 NPPES
Illinois Other 6015373 BLUE SHIELD
Illinois Other 080021119 BLUE SHIELD

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