Promed Preferred Il 2 Pllc

LBN: Promed Preferred Il 2 Pllc
Promed Preferred Il 2 Pllc is an health care organization with primary practice located at 141 Market Pl Ste 100 , Fairview Heights IL 62208-2089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Promed Preferred Il 2 Pllc can be contacted via phone (615) 499-3165, or through Grinman, Lev via phone (615) 499-3165.

Contact Information

Primary practice address
141 Market Pl Ste 100 Fairview Heights IL 62208-2089
Phone: (615) 499-3165
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grinman, Lev Doctor of Medicine (MD)
Phone: (615) 499-3165

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1023855566
LBN Legal business name Promed Preferred Il 2 Pllc
DBA Doing business as
Authorized official Grinman, Lev Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2024
Last updated Jul 11th, 2024 - about 4 months 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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