Park Ridge Endodontics

LBN: Park Ridge Endodontics
Park Ridge Endodontics is an health care organization with primary practice located at 350 S Northwest Hwy Suite 116, Park Ridge IL 60068-4216. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Park Ridge Endodontics can be contacted via phone (847) 823-4161, or through Fitzgerald, Patrick I via phone (847) 823-4161.

Contact Information

Primary practice address
350 S Northwest Hwy Suite 116 Park Ridge IL 60068-4216
Fax: (847) 823-4163
Website:
Authorized official contact:
Name: Fitzgerald, Patrick I Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 060009606 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 060009606 Illinois

Profile Details

NPI number 1467774661
LBN Legal business name Park Ridge Endodontics
DBA Doing business as
Authorized official Fitzgerald, Patrick I Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2010
Last updated Feb 16th, 2010 - about 14 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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