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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659597730 | NPPES |
Illinois | Other | 1740273507 | MARK CHYNA MD INDIV. NPI |
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