Infant Welfare Clinic

LBN: Oak Park River Forest Infant Welfare Society
Infant Welfare Clinic is an health care organization with primary practice located at 320 Lake St , Oak Park IL 60302-2612. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Pediatrics. Dental Providers / Dentist is the primary health care specialty. Oak Park River Forest Infant Welfare Society can be contacted via phone (708) 848-0528, or through Lippitt, Elizabeth B via phone (708) 848-0528.

Contact Information

Primary practice address
320 Lake St Oak Park IL 60302-2612
Fax: (708) 848-5855
Website:
Authorized official contact:
Name: Lippitt, Elizabeth B MHSA

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134258916
LBN Legal business name Oak Park River Forest Infant Welfare Society
DBA Doing business as Infant Welfare Clinic
Authorized official Lippitt, Elizabeth B MHSA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134258916 NPPES
Illinois MEDICAID 101348

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