Podzamsky Medical Services

LBN: Podzamsky Medical Services
Podzamsky Medical Services is an health care organization with primary practice located at 301 S Bloomington St , Streator IL 61364-2969. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Podzamsky Medical Services can be contacted via phone (815) 673-2441, or through Podzamsky, John E via phone (309) 432-2441.

Contact Information

Primary practice address
301 S Bloomington St Streator IL 61364-2969
Phone: (815) 673-2441
Fax: (815) 672-2178
Website:
Map and Directions
Authorized official contact:
Name: Podzamsky, John E Doctor of Osteopathy (DO)
Phone: (309) 432-2441

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 036055223 Illinois

Profile Details

NPI number 1700018538
LBN Legal business name Podzamsky Medical Services
DBA Doing business as
Authorized official Podzamsky, John E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2009
Last updated Dec 19th, 2012 - about 12 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 1700018538 NPPES
Illinois MEDICAID 036055223
Illinois Other 1225013840
Illinois Other 645950
Illinois Other 645951

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