Progressive Family Health

LBN: Progressive Family Health
Progressive Family Health is an health care organization with primary practice located at 1110 Arbor Dr Suite D, Decatur IL 62526-9285. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Progressive Family Health can be contacted via phone (217) 875-9995, or through Krol, Kevin via phone (217) 875-9995.

Contact Information

Primary practice address
1110 Arbor Dr Suite D Decatur IL 62526-9285
Phone: (217) 875-9995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krol, Kevin Doctor of Medicine (MD)
Phone: (217) 875-9995

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 207Q00000X Illinois

Profile Details

NPI number 1942425517
LBN Legal business name Progressive Family Health
DBA Doing business as
Authorized official Krol, Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 28th, 2007 - about 18 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 1942425517 NPPES
Illinois Other 05822882 BLUE CROSS

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