Illinois Internal Medicine Ltd

LBN: Illinois Internal Medicine Ltd
Illinois Internal Medicine Ltd is an health care organization with primary practice located at 890 Garfield Ave Suite 209, Libertyville IL 60048-4723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Illinois Internal Medicine Ltd can be contacted via phone (847) 367-3843, or through Chyna, Mark James via phone (847) 367-3060.

Contact Information

Primary practice address
890 Garfield Ave Suite 209 Libertyville IL 60048-4723
Phone: (847) 367-3843
Fax: (847) 367-3063
Website:
Map and Directions
Authorized official contact:
Name: Chyna, Mark James Doctor of Medicine (MD)
Phone: (847) 367-3060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-617825 Illinois

Profile Details

NPI number 1659597730
LBN Legal business name Illinois Internal Medicine Ltd
DBA Doing business as
Authorized official Chyna, Mark James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 14th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659597730 NPPES
Illinois Other 1740273507 MARK CHYNA MD INDIV. NPI

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