Heritage Primary Care, S.C.

LBN: Heritage Primary Care, S.C.
Heritage Primary Care, S.C. is an health care organization with primary practice located at 1600 N Randall Rd Suite 155, Elgin IL 60123-7803. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Heritage Primary Care, S.C. can be contacted via phone (847) 488-9589, or through Goel, Archana via phone (847) 488-9589.

Contact Information

Primary practice address
1600 N Randall Rd Suite 155 Elgin IL 60123-7803
Phone: (847) 488-9589
Fax: (847) 931-5173
Website:
Map and Directions
Authorized official contact:
Name: Goel, Archana Doctor of Medicine (MD)
Phone: (847) 488-9589

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036092129 Illinois

Profile Details

NPI number 1295923191
LBN Legal business name Heritage Primary Care, S.C.
DBA Doing business as
Authorized official Goel, Archana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2007
Last updated Jan 7th, 2015 - about 9 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 1295923191 NPPES
Illinois Other 0004522347 BCBS
Illinois MEDICAID 036092129 BCBS

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