Palos Community Hospital (Icc Physician Group)

LBN: Palos Community Hospital (Icc Physician Group)
Palos Community Hospital (Icc Physician Group) is an health care organization with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Palos Community Hospital (Icc Physician Group) can be contacted via phone (708) 460-5550, or through Wright, Margaret via phone (708) 923-5000.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Fax: (708) 226-2630
Website:
Authorized official contact:
Name: Wright, Margaret

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1588797641
LBN Legal business name Palos Community Hospital (Icc Physician Group)
DBA Doing business as
Authorized official Wright, Margaret
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 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 1588797641 NPPES
Indiana Other 0001619045 BLUE CROSS GROUP NUMBER

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