Novamed Surgery Center Of Chicago-Northshore, Llc

LBN: Novamed Surgery Center Of Chicago-Northshore, Llc
Novamed Surgery Center Of Chicago-Northshore, Llc is an health care organization with primary practice located at 3034 W Peterson Ave , Chicago IL 60659-3729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Novamed Surgery Center Of Chicago-Northshore, Llc can be contacted via phone (773) 973-7432, or through Baldock, Jennifer Boyd via phone (615) 234-5900.

Contact Information

Primary practice address
3034 W Peterson Ave Chicago IL 60659-3729
Fax: (773) 973-1119
Website:
Authorized official contact:
Name: Baldock, Jennifer Boyd

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7002678 Illinois

Profile Details

NPI number 1992709851
LBN Legal business name Novamed Surgery Center Of Chicago-Northshore, Llc
DBA Doing business as
Authorized official Baldock, Jennifer Boyd
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated May 11th, 2021 - about 3 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 1992709851 NPPES
Other P00012000 RR MEDICARE
MEDICAID 326488082001 RR MEDICARE

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