Procare Medical Center Of Oak Park S.C.

LBN: Procare Medical Center Of Oak Park S.C.
Procare Medical Center Of Oak Park S.C. is an health care organization with primary practice located at 6715 North Ave , Oak Park IL 60302-1006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Procare Medical Center Of Oak Park S.C. can be contacted via phone (708) 386-9600, or through Momney, Allan via phone (708) 386-9600.

Contact Information

Primary practice address
6715 North Ave Oak Park IL 60302-1006
Fax: (708) 386-6558
Website:
Authorized official contact:
Name: Momney, Allan

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094250 Illinois

Profile Details

NPI number 1780830323
LBN Legal business name Procare Medical Center Of Oak Park S.C.
DBA Doing business as
Authorized official Momney, Allan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Jun 4th, 2010 - about 15 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 1780830323 NPPES
Illinois MEDICAID 036094250

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