Progressive Family Care, Ltd

LBN: Progressive Family Care, Ltd
Progressive Family Care, Ltd is an health care organization with primary practice located at 509 Hamacher St Suite 103, Waterloo IL 62298-1592. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Progressive Family Care, Ltd can be contacted via phone (618) 939-2273, or through Kirk, Michael Nels via phone (618) 939-2273.

Contact Information

Primary practice address
509 Hamacher St Suite 103 Waterloo IL 62298-1592
Phone: (618) 939-2273
Fax: (618) 939-0245
Website:
Map and Directions
Authorized official contact:
Name: Kirk, Michael Nels Doctor of Medicine (MD)
Phone: (618) 939-2273

Health care specialties

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

Profile Details

NPI number 1972722833
LBN Legal business name Progressive Family Care, Ltd
DBA Doing business as
Authorized official Kirk, Michael Nels Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 31st, 2008 - about 16 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 1972722833 NPPES
Other DG3299 MEDICARE RR

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