The Center For Primary Care & Sports Medicine
LBN: Lawrence T. Kacmar M.D., S.C.
The Center For Primary Care & Sports Medicine is an health care organization with primary practice located at 3965 75Th St Suite 103, Aurora IL 60504-7925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Lawrence T. Kacmar M.D., S.C. can be contacted via phone (630) 375-1625, or through Cooley, Margaret M via phone (630) 375-1625.
Contact Information
Primary practice address
3965 75Th St Suite 103
Aurora IL 60504-7925
Phone: (630) 375-1625
Fax: (630) 375-1925
Website:
Authorized official contact:
Name: Cooley, Margaret M Licensed Practical Nurse (LPN)
Phone: (630) 375-1625
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
| NPI number | 1235225269 |
|---|---|
| LBN Legal business name | Lawrence T. Kacmar M.D., S.C. |
| DBA Doing business as | The Center For Primary Care & Sports Medicine |
| Authorized official | Cooley, Margaret M Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 23rd, 2008 - about 16 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 | 1235225269 | NPPES |
| Illinois | Other | 0005442619 | AETNA |
| Illinois | Other | 02232125 | AETNA |
| Illinois | MEDICAID | 036091557 | AETNA |
| Illinois | Other | 1767232 | AETNA |
| Illinois | Other | 1903680 | AETNA |
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