Gottlieb/ West Towns Pho, Inc.

LBN: Gottlieb/ West Towns Pho, Inc.
Gottlieb/ West Towns Pho, Inc. is an health care organization with primary practice located at 675 W North Ave Lower Level, Melrose Park IL 60160-1634. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Gottlieb/ West Towns Pho, Inc. can be contacted via phone (708) 450-4945, or through Porter-Walton, Erica via phone (708) 450-4943.

Contact Information

Primary practice address
675 W North Ave Lower Level Melrose Park IL 60160-1634
Phone: (708) 450-4945
Fax: (708) 450-1150
Website:
Map and Directions
Authorized official contact:
Name: Porter-Walton, Erica
Phone: (708) 450-4943

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1447359856
LBN Legal business name Gottlieb/ West Towns Pho, Inc.
DBA Doing business as
Authorized official Porter-Walton, Erica
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 7th, 2010 - about 14 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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