Solid Rock Care Center Ii

LBN: Solid Rock Care Center Ii
Solid Rock Care Center Ii is an health care organization with primary practice located at 228 Madison St , Oak Park IL 60302-4194. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Solid Rock Care Center Ii can be contacted via phone (708) 358-8040, or through Smith, Larry via phone (708) 358-8040.

Contact Information

Primary practice address
228 Madison St Oak Park IL 60302-4194
Phone: (708) 358-8040
Fax: (708) 358-8049
Website:
Map and Directions
Authorized official contact:
Name: Smith, Larry
Phone: (708) 358-8040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1780877993
LBN Legal business name Solid Rock Care Center Ii
DBA Doing business as
Authorized official Smith, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 13th, 2008 - about 17 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 1780877993 NPPES
Illinois MEDICAID 6030201

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