Nolasco Medical Group, Pllc
LBN: Nolasco Medical Group, Pllc
Nolasco Medical Group, Pllc is an health care organization with primary practice located at 2317 S Bates Ave , Springfield IL 62704-4337. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Nolasco Medical Group, Pllc can be contacted via phone (866) 477-7472, or through Nolasco Morales, Carlos Ernesto via phone (866) 477-7472.
Contact Information
Primary practice address
2317 S Bates Ave
Springfield IL 62704-4337
Phone: (866) 477-7472
Fax: (217) 717-2268
Website:
Authorized official contact:
Name: Nolasco Morales, Carlos Ernesto Doctor of Medicine (MD)
Phone: (866) 477-7472
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1184235905 |
|---|---|
| LBN Legal business name | Nolasco Medical Group, Pllc |
| DBA Doing business as | |
| Authorized official | Nolasco Morales, Carlos Ernesto Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2020 |
| Last updated | Dec 1st, 2020 - about 4 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 | 1184235905 | NPPES |
| Illinois | Other | F100698048 | MEDICARE PTAN |
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