Fullerton Drake Medical Center

LBN: Fullerton Drake Medical Center
Fullerton Drake Medical Center is an health care organization with primary practice located at 3518 W Fullerton Ave , Chicago IL 60647-2418. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Fullerton Drake Medical Center can be contacted via phone (773) 278-0334, or through Gerber, Mark K via phone (773) 278-0334.

Contact Information

Primary practice address
3518 W Fullerton Ave Chicago IL 60647-2418
Phone: (773) 278-0334
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gerber, Mark K Doctor of Medicine (MD)
Phone: (773) 278-0334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1104693845
LBN Legal business name Fullerton Drake Medical Center
DBA Doing business as
Authorized official Gerber, Mark K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about last year

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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