Northern Illinois Medical Group S. C.

LBN: Northern Illinois Medical Group S. C.
Northern Illinois Medical Group S. C. is an health care organization with primary practice located at 5301 E State St Ste 101 , Rockford IL 61108-2388. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Northern Illinois Medical Group S. C. can be contacted via phone (815) 397-8500, or through Kong, Andrew via phone (815) 397-8500.

Contact Information

Primary practice address
5301 E State St Ste 101 Rockford IL 61108-2388
Phone: (815) 397-8500
Fax: (815) 397-8588
Website:
Map and Directions
Authorized official contact:
Name: Kong, Andrew Doctor of Chiropractic (DC)
Phone: (815) 397-8500

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1861670101
LBN Legal business name Northern Illinois Medical Group S. C.
DBA Doing business as
Authorized official Kong, Andrew Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated Oct 28th, 2013 - about 11 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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