Galilee Medical Center S.C.

LBN: Galilee Medical Center S.C.
Galilee Medical Center S.C. is an health care organization with primary practice located at 4941 N. Kedzie Ave , Chicago IL 60625. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Galilee Medical Center S.C. can be contacted via phone (773) 509-9099, or through Rustom, Naser via phone (773) 561-9100.

Contact Information

Primary practice address
4941 N. Kedzie Ave Chicago IL 60625
Fax: (773) 509-9006
Website:
Authorized official contact:
Name: Rustom, Naser Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 042-616-998 Illinois

Profile Details

NPI number 1437104239
LBN Legal business name Galilee Medical Center S.C.
DBA Doing business as
Authorized official Rustom, Naser Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 4th, 2009 - about 15 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 1437104239 NPPES
Illinois Other 31604553 BCBS OF ILL

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