Mid-Illinois Medical Care Associates, Llc

LBN: Mid-Illinois Medical Care Associates, Llc
Mid-Illinois Medical Care Associates, Llc is an health care organization with primary practice located at 1207 Network Centre Dr Suite 3, Effingham IL 62401-4632. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mid-Illinois Medical Care Associates, Llc can be contacted via phone (217) 347-2707, or through Dust, Eugene P. via phone (217) 347-2707.

Contact Information

Primary practice address
1207 Network Centre Dr Suite 3 Effingham IL 62401-4632
Fax: (217) 347-2827
Website:
Authorized official contact:
Name: Dust, Eugene P. Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1922067289
LBN Legal business name Mid-Illinois Medical Care Associates, Llc
DBA Doing business as
Authorized official Dust, Eugene P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 1st, 2017 - about 8 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 1922067289 NPPES
Illinois Other 2523247 BLUE CROSS BLUE SHIELD

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