The Montrose Medical Group, Llc
LBN: The Montrose Medical Group, Llc
The Montrose Medical Group, Llc is an health care organization with primary practice located at 4757 W Montrose Ave , Chicago IL 60641-1504. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
The Montrose Medical Group, Llc can be contacted via phone (773) 777-2620, or through Wright, Theodore Sidney via phone (773) 777-2620.
Contact Information
Primary practice address
4757 W Montrose Ave
Chicago IL 60641-1504
Phone: (773) 777-2620
Fax: (773) 777-3030
Website:
Authorized official contact:
Name: Wright, Theodore Sidney Doctor of Medicine (MD)
Phone: (773) 777-2620
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036065761 | Illinois |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 036065761 | Illinois |
Profile Details
NPI number | 1679892889 |
---|---|
LBN Legal business name | The Montrose Medical Group, Llc |
DBA Doing business as | |
Authorized official | Wright, Theodore Sidney Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 27th, 2010 |
Last updated | May 27th, 2010 - about 15 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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