Medintel Pc

LBN: Medintel Pc
Medintel Pc is an health care organization with primary practice located at 532 Lockard Ln , Highwood IL 60040-1223. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Medintel Pc can be contacted via phone (773) 750-9696, or through Kvirikadze, Nelly via phone (773) 750-9696.

Contact Information

Primary practice address
532 Lockard Ln Highwood IL 60040-1223
Phone: (773) 750-9696
Fax: (224) 848-6296
Website:
Map and Directions
Authorized official contact:
Name: Kvirikadze, Nelly Doctor of Medicine (MD)
Phone: (773) 750-9696

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036114198 Illinois

Profile Details

NPI number 1922414358
LBN Legal business name Medintel Pc
DBA Doing business as
Authorized official Kvirikadze, Nelly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Jul 7th, 2014 - about 10 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 1922414358 NPPES
Illinois MEDICAID 036114198

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