Trv - Family Medicine, Ltd.

LBN: Trv - Family Medicine, Ltd.
Trv - Family Medicine, Ltd. is an health care organization with primary practice located at 2740 W Foster Ave Suite 214, Chicago IL 60625-3500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Trv - Family Medicine, Ltd. can be contacted via phone (773) 506-2000, or through Vancauwelaert, Tony R. via phone (773) 506-2000.

Contact Information

Primary practice address
2740 W Foster Ave Suite 214 Chicago IL 60625-3500
Phone: (773) 506-2000
Fax: (773) 506-2668
Website:
Map and Directions
Authorized official contact:
Name: Vancauwelaert, Tony R. Doctor of Medicine (MD)
Phone: (773) 506-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036092385 Illinois
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036092385 Illinois

Profile Details

NPI number 1992811178
LBN Legal business name Trv - Family Medicine, Ltd.
DBA Doing business as
Authorized official Vancauwelaert, Tony R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 19th, 2010 - about 14 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 1992811178 NPPES
Illinois MEDICAID 036092385

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