Fischer Mangold/Joliet

LBN: Fischer Mangold/Joliet
Fischer Mangold/Joliet is an health care organization with primary practice located at 1200 Maple Rd , Joliet IL 60432-1439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Fischer Mangold/Joliet can be contacted via phone (925) 924-1600, or through Carvolth, Richard D. via phone (925) 924-1600.

Contact Information

Primary practice address
1200 Maple Rd Joliet IL 60432-1439
Phone: (925) 924-1600
Fax: (925) 924-0506
Website:
Map and Directions
Authorized official contact:
Name: Carvolth, Richard D. Doctor of Medicine (MD)
Phone: (925) 924-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1730138496
LBN Legal business name Fischer Mangold/Joliet
DBA Doing business as
Authorized official Carvolth, Richard D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Oct 19th, 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 1730138496 NPPES
Illinois Other CA2112 MEDICARE RR

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