Southcare Family Practice

LBN: Macentee Knox & Vargas Mds
Southcare Family Practice is an health care organization with primary practice located at 10627 S Pulaski Rd , Chicago IL 60655-3827. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Macentee Knox & Vargas Mds can be contacted via phone (773) 779-9300, or through Macentee, Peter F via phone (773) 779-9300.

Contact Information

Primary practice address
10627 S Pulaski Rd Chicago IL 60655-3827
Phone: (773) 779-9300
Fax: (773) 779-5768
Website:
Map and Directions
Authorized official contact:
Name: Macentee, Peter F Doctor of Medicine (MD)
Phone: (773) 779-9300

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 036072512 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 036047977 Illinois
Managed Care Organizations / Point of Service 305S00000X 036063080 Illinois

Profile Details

NPI number 1275729303
LBN Legal business name Macentee Knox & Vargas Mds
DBA Doing business as Southcare Family Practice
Authorized official Macentee, Peter F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Mar 8th, 2011 - about 13 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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