Longevity Clinical Ltc Associates Of Illinois Pllc

LBN: Longevity Clinical Ltc Associates Of Illinois Pllc
Longevity Clinical Ltc Associates Of Illinois Pllc is an health care organization with primary practice located at 6300 N California Ave , Chicago IL 60659-1702. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Longevity Clinical Ltc Associates Of Illinois Pllc can be contacted via phone (773) 973-1900, or through Vincur, Diane via phone (561) 815-2427.

Contact Information

Primary practice address
6300 N California Ave Chicago IL 60659-1702
Phone: (773) 973-1900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vincur, Diane
Phone: (561) 815-2427

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1407422447
LBN Legal business name Longevity Clinical Ltc Associates Of Illinois Pllc
DBA Doing business as
Authorized official Vincur, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2021
Last updated Jun 1st, 2021 - about 4 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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