Travel Medicine Source Ltd

LBN: Travel Medicine Source Ltd
Travel Medicine Source Ltd is an health care organization with primary practice located at 9201 Waukegan Rd , Morton Grove IL 60053-2102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Travel Medicine Source Ltd can be contacted via phone (847) 663-1566, or through Macgregor, Mary Catherine via phone (847) 663-1566.

Contact Information

Primary practice address
9201 Waukegan Rd Morton Grove IL 60053-2102
Fax: (847) 663-1568
Website:
Authorized official contact:
Name: Macgregor, Mary Catherine Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1962571737
LBN Legal business name Travel Medicine Source Ltd
DBA Doing business as
Authorized official Macgregor, Mary Catherine Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 31st, 2015 - about 9 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 1962571737 NPPES
Illinois MEDICAID 036063587

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