Illinois Rural Healthcare

LBN: Illinois Rural Healthcare
Illinois Rural Healthcare is an health care organization with primary practice located at 17781 Hornbean Dr , Wildwood MO 63005-4229. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Illinois Rural Healthcare can be contacted via phone (312) 953-5636, or through Jasdanwala, Sarfaraz via phone (031) 295-3563.

Contact Information

Primary practice address
17781 Hornbean Dr Wildwood MO 63005-4229
Phone: (312) 953-5636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jasdanwala, Sarfaraz Doctor of Medicine (MD)
Phone: (031) 295-3563

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1093493041
LBN Legal business name Illinois Rural Healthcare
DBA Doing business as
Authorized official Jasdanwala, Sarfaraz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2023
Last updated Jul 10th, 2023 - about last year

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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