Ilko Family Medicine Pa

LBN: Ilko Family Medicine Pa
Ilko Family Medicine Pa is an health care organization with primary practice located at 1687 Woodlane Dr Suite 102, Woodbury MN 55125-3045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ilko Family Medicine Pa can be contacted via phone (651) 209-6685, or through Ryan, Lisa via phone (815) 834-7200.

Contact Information

Primary practice address
1687 Woodlane Dr Suite 102 Woodbury MN 55125-3045
Phone: (651) 209-6685
Fax: (651) 209-1680
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Lisa
Phone: (815) 834-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1124281571
LBN Legal business name Ilko Family Medicine Pa
DBA Doing business as
Authorized official Ryan, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Feb 2nd, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124281571 NPPES
Minnesota Other CJ9584 MEDICARE RR

Popular Providers