Kishwaukee Corporate Health @Moi

LBN: Kishwaukee Corporate Health @Moi
Kishwaukee Corporate Health @Moi is an health care organization with primary practice located at 2111 Midlands Ct Suite 201, Sycamore IL 60178-3125. The organization recently has only one registered license in Ambulatory Health Care Facilities / Occupational Medicine, which is considered as the primary health care specialty. Kishwaukee Corporate Health @Moi can be contacted via phone (181) 575-4488, or through Gannon, Patrick G via phone (815) 754-4882.

Contact Information

Primary practice address
2111 Midlands Ct Suite 201 Sycamore IL 60178-3125
Phone: (181) 575-4488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gannon, Patrick G Doctor of Osteopathy (DO)
Phone: (815) 754-4882

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 036-077643 Illinois

Profile Details

NPI number 1467841809
LBN Legal business name Kishwaukee Corporate Health @Moi
DBA Doing business as
Authorized official Gannon, Patrick G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 10 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 1467841809 NPPES
Illinois Other 1255594545 WORKER'S COMP

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