Vijayalakshmi Thota Do Sc

LBN: Vijayalakshmi Thota Do Sc
Vijayalakshmi Thota Do Sc is an health care organization with primary practice located at 15300 West Ave Suite 303, Orland Park IL 60462-4600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Vijayalakshmi Thota Do Sc can be contacted via phone (708) 349-6713, or through Thota, Vijayalakshmi via phone (708) 349-6713.

Contact Information

Primary practice address
15300 West Ave Suite 303 Orland Park IL 60462-4600
Fax:
Website:
Authorized official contact:
Name: Thota, Vijayalakshmi Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036088719 Illinois

Profile Details

NPI number 1801081112
LBN Legal business name Vijayalakshmi Thota Do Sc
DBA Doing business as
Authorized official Thota, Vijayalakshmi Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Jul 16th, 2008 - about 16 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 1801081112 NPPES
Illinois Other 0001627062 BC/BS
Illinois MEDICAID 036088719 BC/BS

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