Lake Street Family Medicine, Llc

LBN: Lake Street Family Medicine, Llc
Lake Street Family Medicine, Llc is an health care organization with primary practice located at 220 E Lake St Suite 100, Addison IL 60101-2887. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Street Family Medicine, Llc can be contacted via phone (630) 516-0434, or through Koecher, Brian via phone (630) 516-0434.

Contact Information

Primary practice address
220 E Lake St Suite 100 Addison IL 60101-2887
Phone: (630) 516-0434
Fax: (630) 516-0419
Website:
Map and Directions
Authorized official contact:
Name: Koecher, Brian Doctor of Osteopathy (DO)
Phone: (630) 516-0434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1639204613
LBN Legal business name Lake Street Family Medicine, Llc
DBA Doing business as
Authorized official Koecher, Brian Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 11th, 2012 - about 12 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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