Professional Health Sport, Inc.

LBN: Professional Health Sport, Inc.
Professional Health Sport, Inc. is an health care organization with primary practice located at 6288 N Cicero Ave , Chicago IL 60646-4918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Professional Health Sport, Inc. can be contacted via phone (773) 205-1418, or through Dehelean, John H via phone (773) 205-1418.

Contact Information

Primary practice address
6288 N Cicero Ave Chicago IL 60646-4918
Phone: (773) 205-1418
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dehelean, John H
Phone: (773) 205-1418

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Illinois

Profile Details

NPI number 1063632917
LBN Legal business name Professional Health Sport, Inc.
DBA Doing business as
Authorized official Dehelean, John H
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 1st, 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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