Orthopedic Center Of Lake County Pc

LBN: Orthopedic Center Of Lake County Pc
Orthopedic Center Of Lake County Pc is an health care organization with primary practice located at 625 Roger Williams Ave Suite 108, Highland Park IL 60035-4840. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Orthopedic Center Of Lake County Pc can be contacted via phone (847) 433-3700, or through Kane, Gerald Saul via phone (847) 433-3700.

Contact Information

Primary practice address
625 Roger Williams Ave Suite 108 Highland Park IL 60035-4840
Fax: (847) 433-1699
Website:
Authorized official contact:
Name: Kane, Gerald Saul Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-035962 Illinois

Profile Details

NPI number 1538176722
LBN Legal business name Orthopedic Center Of Lake County Pc
DBA Doing business as
Authorized official Kane, Gerald Saul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 27th, 2007 - about 17 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 1538176722 NPPES
Illinois Other 04915292 BLUECROSS/BLUESHIELD
Illinois Other 0363650001 BLUECROSS/BLUESHIELD
Illinois Other 483397 BLUECROSS/BLUESHIELD
Illinois Other 202757512 BLUECROSS/BLUESHIELD
Illinois Other P12557 BLUECROSS/BLUESHIELD
Illinois MEDICAID 036035962 BLUECROSS/BLUESHIELD

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