Suburban General Surgery Ltd

LBN: Suburban General Surgery Ltd
Suburban General Surgery Ltd is an health care organization with primary practice located at 4700 W 95Th St Ste 308, Oak Lawn IL 60453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Suburban General Surgery Ltd can be contacted via phone (708) 425-6370, or through Kampin, Gerald via phone (708) 425-6370.

Contact Information

Primary practice address
4700 W 95Th St Ste 308 Oak Lawn IL 60453
Phone: (708) 425-6370
Fax: (708) 425-6416
Website:
Map and Directions
Authorized official contact:
Name: Kampin, Gerald Doctor of Medicine (MD)
Phone: (708) 425-6370

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1003977901
LBN Legal business name Suburban General Surgery Ltd
DBA Doing business as
Authorized official Kampin, Gerald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 20th, 2007 - about 18 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 1003977901 NPPES
Illinois Other 1617379 BLUE CROSS BLUE SHIELD

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