Lake County Internal Medicine Association Llc

LBN: Lake County Internal Medicine Association Llc
Lake County Internal Medicine Association Llc is an health care organization with primary practice located at 5911 Kildeer Ct , Long Grove IL 60047-5052. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Lake County Internal Medicine Association Llc can be contacted via phone (847) 672-8373, or through Milejczyk, Mariusz via phone (847) 596-7426.

Contact Information

Primary practice address
5911 Kildeer Ct Long Grove IL 60047-5052
Fax: (815) 464-9285
Website:
Authorized official contact:
Name: Milejczyk, Mariusz Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1265833958
LBN Legal business name Lake County Internal Medicine Association Llc
DBA Doing business as
Authorized official Milejczyk, Mariusz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2014
Last updated Sep 12th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265833958 NPPES
Illinois Other DT3947 RAILROAD MEDICARE
Illinois Other P01139269 RAILROAD MEDICARE

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