Jeffery C. Teich M.D. S.C.

LBN: Jeffery C. Teich M.D. S.C.
Jeffery C. Teich M.D. S.C. is an health care organization with primary practice located at 636 Church St Suite #407, Evanston IL 60201-4508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Jeffery C. Teich M.D. S.C. can be contacted via phone (847) 869-3702, or through Teich, Jeffrey C via phone (847) 869-3702.

Contact Information

Primary practice address
636 Church St Suite #407 Evanston IL 60201-4508
Phone: (847) 869-3702
Fax: (847) 869-8945
Website:
Map and Directions
Authorized official contact:
Name: Teich, Jeffrey C Doctor of Medicine (MD)
Phone: (847) 869-3702

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1265604748
LBN Legal business name Jeffery C. Teich M.D. S.C.
DBA Doing business as
Authorized official Teich, Jeffrey C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Jun 19th, 2012 - about 13 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 1265604748 NPPES
Illinois MEDICAID 036045916
Illinois Other 1622238

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