Innovative Physician Associates Llc

LBN: Innovative Physician Associates Llc
Innovative Physician Associates Llc is an health care organization with primary practice located at 901 Mcclintock Drive Suite 202, Burr Ridge IL 60527-0844. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Innovative Physician Associates Llc can be contacted via phone (888) 220-6432, or through Petrak, Russell M. via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Drive Suite 202 Burr Ridge IL 60527-0844
Phone: (888) 220-6432
Fax: (630) 734-4715
Website:
Map and Directions
Authorized official contact:
Name: Petrak, Russell M. Doctor of Medicine (MD)
Phone: (888) 220-6432

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 41053311 Illinois

Profile Details

NPI number 1336482462
LBN Legal business name Innovative Physician Associates Llc
DBA Doing business as
Authorized official Petrak, Russell M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2013
Last updated Mar 27th, 2013 - about 12 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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