Hyde Park Medical Specialty Group, Llc

LBN: Hyde Park Medical Specialty Group, Llc
Hyde Park Medical Specialty Group, Llc is an health care organization with primary practice located at 1644 E 53Rd St , Chicago IL 60615-4210. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Hyde Park Medical Specialty Group, Llc can be contacted via phone (773) 752-2111, or through Massuda, Fortunee via phone (773) 752-2111.

Contact Information

Primary practice address
1644 E 53Rd St Chicago IL 60615-4210
Fax: (773) 752-6703
Website:
Authorized official contact:
Name: Massuda, Fortunee Doctor of Podiatric Medicine (DPM)

Health care specialties

Profile Details

NPI number 1588656037
LBN Legal business name Hyde Park Medical Specialty Group, Llc
DBA Doing business as
Authorized official Massuda, Fortunee Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 19th, 2012 - about 12 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 1588656037 NPPES
Illinois Other 01633434 BCBS

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