Jencare Neighborhood Medical Center Glenwood, Llc

LBN: Jencare Neighborhood Medical Center Glenwood, Llc
Jencare Neighborhood Medical Center Glenwood, Llc is an health care organization with primary practice located at 19310 S Halsted St , Glenwood IL 60425-1562. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Non-Pharmacy Dispensing Site. Other Service Providers / Specialist is the primary health care specialty. Jencare Neighborhood Medical Center Glenwood, Llc can be contacted via phone (305) 628-6117, or through Chen, Gordon via phone (305) 628-6117.

Contact Information

Primary practice address
19310 S Halsted St Glenwood IL 60425-1562
Phone: (305) 628-6117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chen, Gordon Doctor of Medicine (MD)
Phone: (305) 628-6117

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036.131322 Illinois
Suppliers / Non-Pharmacy Dispensing Site 332900000X 036.131322 Illinois

Profile Details

NPI number 1477991891
LBN Legal business name Jencare Neighborhood Medical Center Glenwood, Llc
DBA Doing business as
Authorized official Chen, Gordon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2013
Last updated Dec 3rd, 2013 - about 11 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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