Midwest Lakes Medical Center, Sc
LBN: Midwest Lakes Medical Center, Sc
Midwest Lakes Medical Center, Sc is an health care organization with primary practice located at 690 E Terra Cotta Ave Suite D, Crystal Lake IL 60014-3605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Midwest Lakes Medical Center, Sc can be contacted via phone (815) 455-8600, or through Arora, Mukesh via phone (815) 455-8600.
Contact Information
Primary practice address
690 E Terra Cotta Ave Suite D
Crystal Lake IL 60014-3605
Phone: (815) 455-8600
Fax: (815) 455-8601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36097343 | Illinois |
Profile Details
| NPI number | 1417121500 |
|---|---|
| LBN Legal business name | Midwest Lakes Medical Center, Sc |
| DBA Doing business as | |
| Authorized official | Arora, Mukesh Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Aug 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417121500 | NPPES |
| Illinois | Other | 05623054 | BCBS ID |
| Illinois | MEDICAID | 036 097 343 | BCBS ID |
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