Gold Coast Osteopathic, Psc

LBN: Gold Coast Osteopathic, Psc
Gold Coast Osteopathic, Psc is an health care organization with primary practice located at 680 N Lake Shore Dr Ste 1040 , Chicago IL 60611-8718. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is the primary health care specialty. Gold Coast Osteopathic, Psc can be contacted via phone (773) 554-6055, or through Beckerly, Aida via phone (773) 554-6055.

Contact Information

Primary practice address
680 N Lake Shore Dr Ste 1040 Chicago IL 60611-8718
Phone: (773) 554-6055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beckerly, Aida
Phone: (773) 554-6055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1750733788
LBN Legal business name Gold Coast Osteopathic, Psc
DBA Doing business as
Authorized official Beckerly, Aida
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2016
Last updated Sep 13th, 2016 - about 8 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 1750733788 NPPES
Illinois Other 1568816254 ILLINOIS STATE

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