Round Lake Family Physicians

LBN: Round Lake Family Physicians
Round Lake Family Physicians is an health care organization with primary practice located at 707 Railroad Ave , Round Lake IL 60073-3237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Round Lake Family Physicians can be contacted via phone (847) 546-8777, or through Nho, Jai Jung via phone (847) 546-8777.

Contact Information

Primary practice address
707 Railroad Ave Round Lake IL 60073-3237
Phone: (847) 546-8777
Fax: (847) 546-8779
Website:
Map and Directions
Authorized official contact:
Name: Nho, Jai Jung Doctor of Medicine (MD)
Phone: (847) 546-8777

Health care specialties

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

Profile Details

NPI number 1427044759
LBN Legal business name Round Lake Family Physicians
DBA Doing business as Round Lake Family Physicians
Authorized official Nho, Jai Jung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 4th, 2010 - about 14 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 1427044759 NPPES
Other 0491507812 BLUE CROSS BLUE SHIELD

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