Melrose Park Clinic Ltd.

LBN: Melrose Park Clinic Ltd.
Melrose Park Clinic Ltd. is an health care organization with primary practice located at 1252 Winston Plaza , Melrose Park IL 60160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Melrose Park Clinic Ltd. can be contacted via phone (708) 343-2500, or through Gacchino, Joseph L via phone (708) 343-2500.

Contact Information

Primary practice address
1252 Winston Plaza Melrose Park IL 60160
Fax: (708) 343-9545
Website:
Authorized official contact:
Name: Gacchino, Joseph L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0 Illinois

Profile Details

NPI number 1427113679
LBN Legal business name Melrose Park Clinic Ltd.
DBA Doing business as
Authorized official Gacchino, Joseph L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 21st, 2022 - about 2 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 1427113679 NPPES
Illinois Other 1617286 BLUE CROSS/BLUE SHIELD
Illinois Other 738410 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 036050366 BLUE CROSS/BLUE SHIELD

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