Northwest Suburban Medical Center

LBN: Northwest Suburban Urgent Care
Northwest Suburban Medical Center is an health care organization with primary practice located at 201 S. Miluakee Ave. , Lake Villa IL 60046. The organization recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Perfusionist, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology is the primary health care specialty. Northwest Suburban Urgent Care can be contacted via phone (847) 356-9016, or through Mcmiller, Robert via phone (847) 356-9016.

Contact Information

Primary practice address
201 S. Miluakee Ave. Lake Villa IL 60046
Phone: (847) 356-9016
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmiller, Robert Doctor of Medicine (MD)
Phone: (847) 356-9016

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X IL-01417-01 Illinois
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X IL-01417-01 Illinois
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X IL-01417-01 Illinois
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X IL-01417-01 Illinois

Profile Details

NPI number 1215156450
LBN Legal business name Northwest Suburban Urgent Care
DBA Doing business as Northwest Suburban Medical Center
Authorized official Mcmiller, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Jun 21st, 2018 - about 6 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 1215156450 NPPES
Illinois Other D14995 DR. JOE F. JACOBS UPIN#
Illinois Other C42529 DR. JOE F. JACOBS UPIN#
Illinois Other H62197 DR. JOE F. JACOBS UPIN#
Illinois Other C45845 DR. JOE F. JACOBS UPIN#
Illinois Other IL-01417-01 DR. JOE F. JACOBS UPIN#

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