Illinois Medical Group Sc

LBN: Illinois Medical Group Sc
Illinois Medical Group Sc is an health care organization with primary practice located at 4211 N Cicero Ave , Chicago IL 60641-1651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Illinois Medical Group Sc can be contacted via phone (773) 545-6900, or through Elias, Sarmed G via phone (773) 545-6900.

Contact Information

Primary practice address
4211 N Cicero Ave Chicago IL 60641-1651
Phone: (773) 545-6900
Fax: (773) 685-2481
Website:
Map and Directions
Authorized official contact:
Name: Elias, Sarmed G Doctor of Medicine (MD)
Phone: (773) 545-6900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 042618822 Illinois

Profile Details

NPI number 1649219007
LBN Legal business name Illinois Medical Group Sc
DBA Doing business as
Authorized official Elias, Sarmed G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jun 12th, 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 1649219007 NPPES
Illinois Other DG1734 MEDICARE RAILROAD

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