Progressive Medical Center Sc
LBN: Progressive Medical Center Sc
Progressive Medical Center Sc is an health care organization with primary practice located at 414 W Lake Street , Addison IL 60101. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Progressive Medical Center Sc can be contacted via phone (630) 458-1905, or through Henriquez, Gabriela via phone (630) 238-9235.
Contact Information
Primary practice address
414 W Lake Street
Addison IL 60101
Phone: (630) 458-1905
Fax: (630) 458-1908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036103673 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036107571 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036087152 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036078267 | Illinois |
Profile Details
| NPI number | 1629128319 |
|---|---|
| LBN Legal business name | Progressive Medical Center Sc |
| DBA Doing business as | |
| Authorized official | Henriquez, Gabriela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Apr 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629128319 | NPPES |
| Illinois | MEDICAID | 036109448 | |
| Illinois | MEDICAID | 036078267 | |
| Illinois | MEDICAID | 036103673 | |
| Illinois | MEDICAID | 036087152 | |
| Illinois | Other | 2205538 |
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