Infectious Disease Specialists Of Chicago
LBN: Infectious Disease Specialists Of Chicago
Infectious Disease Specialists Of Chicago is an health care organization with primary practice located at 600 S Paulina St Suite 143, Chicago IL 60612-3806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty.
Infectious Disease Specialists Of Chicago can be contacted via phone (312) 942-2061, or through Trenholme, Gordon M via phone (312) 942-2061.
Contact Information
Primary practice address
600 S Paulina St Suite 143
Chicago IL 60612-3806
Phone: (312) 942-2061
Fax: (312) 942-2184
Website:
Authorized official contact:
Name: Trenholme, Gordon M Doctor of Medicine (MD)
Phone: (312) 942-2061
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | Illinois |
Profile Details
| NPI number | 1194786574 |
|---|---|
| LBN Legal business name | Infectious Disease Specialists Of Chicago |
| DBA Doing business as | |
| Authorized official | Trenholme, Gordon M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1194786574 | NPPES |
| Illinois | Other | 21623155 | BLUE SHIELD GROUP # |
| Illinois | Other | CJ6213 | BLUE SHIELD GROUP # |
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