Streator Children'S Clinic
LBN: Streator Chidlrens Clinic
Streator Children'S Clinic is an health care organization with primary practice located at 111 Spring St Fl 5 , Streator IL 61364-3332. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care. Other Service Providers / Specialist is the primary health care specialty.
Streator Chidlrens Clinic can be contacted via phone (815) 673-2353, or through Gillman, Keady via phone (815) 673-2353.
Contact Information
Primary practice address
111 Spring St Fl 5
Streator IL 61364-3332
Phone: (815) 673-2353
Fax: (815) 673-2486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036091951 | Illinois |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1720453202 |
|---|---|
| LBN Legal business name | Streator Chidlrens Clinic |
| DBA Doing business as | Streator Children'S Clinic |
| Authorized official | Gillman, Keady |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2015 |
| Last updated | Jun 29th, 2022 - about 2 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 | 1720453202 | NPPES |
| Illinois | MEDICAID | 036091951 |
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