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:
Authorized official contact:
Name: Gannon, Patrick G Doctor of Osteopathy (DO)
Phone: (815) 754-4882
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467841809 | NPPES |
Illinois | Other | 1255594545 | WORKER'S COMP |
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