Moving Up Foundation, Inc.

LBN: Moving Up Foundation, Inc.
Moving Up Foundation, Inc. is an health care organization with primary practice located at 520 W Armory Dr , South Holland IL 60473-2824. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Moving Up Foundation, Inc. can be contacted via phone (708) 596-0410, or through Kandala, Rajiv via phone (773) 793-4527.

Contact Information

Primary practice address
520 W Armory Dr South Holland IL 60473-2824
Phone: (708) 596-0410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kandala, Rajiv Doctor of Medicine (MD)
Phone: (773) 793-4527

Health care specialties

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

Profile Details

NPI number 1255476206
LBN Legal business name Moving Up Foundation, Inc.
DBA Doing business as
Authorized official Kandala, Rajiv Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 3rd, 2008 - about 17 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 1255476206 NPPES
Illinois MEDICAID 036109208

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