Takecare Clinic

LBN: Takecare Clinic
Takecare Clinic is an health care organization with primary practice located at 305 W Rollins Rd , Round Lake Beach IL 60073-1217. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Takecare Clinic can be contacted via phone (224) 338-3567, or through Sullivan, Patricia via phone (224) 500-7627.

Contact Information

Primary practice address
305 W Rollins Rd Round Lake Beach IL 60073-1217
Fax: (847) 546-3089
Website:
Authorized official contact:
Name: Sullivan, Patricia Advanced Practice Nurse (APN)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 209008821 Illinois

Profile Details

NPI number 1306231147
LBN Legal business name Takecare Clinic
DBA Doing business as
Authorized official Sullivan, Patricia Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 30th, 2015 - about 10 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 1306231147 NPPES
Illinois MEDICAID 1720373731

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