Fox Valley Adult And Pediatric Medicine Pc
LBN: Fox Valley Adult And Pediatric Medicine Pc
Fox Valley Adult And Pediatric Medicine Pc is an health care organization with primary practice located at 2020 Dean St. Ste G , St. Charles IL 60174-1665. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Fox Valley Adult And Pediatric Medicine Pc can be contacted via phone (630) 513-0298, or through Ciechanowski, Zbigniew Marian via phone (630) 513-0298.
Contact Information
Primary practice address
2020 Dean St. Ste G
St. Charles IL 60174-1665
Phone: (630) 513-0298
Fax:
Website:
Authorized official contact:
Name: Ciechanowski, Zbigniew Marian Doctor of Medicine (MD)
Phone: (630) 513-0298
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois | |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
NPI number | 1558546952 |
---|---|
LBN Legal business name | Fox Valley Adult And Pediatric Medicine Pc |
DBA Doing business as | |
Authorized official | Ciechanowski, Zbigniew Marian Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 3rd, 2008 |
Last updated | Mar 31st, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558546952 | NPPES |
Illinois | Other | 04532182 | BLUE CROSS BLUE SHIELD IL |
Illinois | Other | E94586 | BLUE CROSS BLUE SHIELD IL |
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