Kindred Llc

LBN: Kindred Llc
Kindred Llc is an health care organization with primary practice located at 120 Ne Glen Oak Ave Suite 200, Peoria IL 61603-4314. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as the primary health care specialty. Kindred Llc can be contacted via phone (309) 673-0000, or through Kindred, David H via phone (309) 673-0000.

Contact Information

Primary practice address
120 Ne Glen Oak Ave Suite 200 Peoria IL 61603-4314
Fax: (309) 673-3730
Website:
Authorized official contact:
Name: Kindred, David H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X

Profile Details

NPI number 1609936707
LBN Legal business name Kindred Llc
DBA Doing business as
Authorized official Kindred, David H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1609936707 NPPES
Illinois Other 9032024 BLUE CROSS BLUE SHIELD
Illinois Other 204931 BLUE CROSS BLUE SHIELD

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