Suburban Emergency Physicians Group, Sc

LBN: Suburban Emergency Physicians Group, Sc
Suburban Emergency Physicians Group, Sc is an health care organization with primary practice located at 6836 S Euclid Ave , Chicago IL 60649-1510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Suburban Emergency Physicians Group, Sc can be contacted via phone (773) 363-1090, or through Richardson, James A via phone (773) 363-1090.

Contact Information

Primary practice address
6836 S Euclid Ave Chicago IL 60649-1510
Phone: (773) 363-1090
Fax: (773) 363-1091
Website:
Map and Directions
Authorized official contact:
Name: Richardson, James A Doctor of Medicine (MD)
Phone: (773) 363-1090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1245210038
LBN Legal business name Suburban Emergency Physicians Group, Sc
DBA Doing business as
Authorized official Richardson, James A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 14th, 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 1245210038 NPPES
Illinois Other CC2148 RAILROAD MEDICARE

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