Village Doctor, Ltd

LBN: Village Doctor, Ltd
Village Doctor, Ltd is an health care organization with primary practice located at 809 N Western Ave , Chicago IL 60622-4637. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Village Doctor, Ltd can be contacted via phone (773) 276-8600, or through Melnik, Iouri via phone (773) 276-8600.

Contact Information

Primary practice address
809 N Western Ave Chicago IL 60622-4637
Phone: (773) 276-8600
Fax: (773) 276-8601
Website:
Map and Directions
Authorized official contact:
Name: Melnik, Iouri Doctor of Medicine (MD)
Phone: (773) 276-8600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1982814992
LBN Legal business name Village Doctor, Ltd
DBA Doing business as
Authorized official Melnik, Iouri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1982814992 NPPES
Illinois Other 01632565 BCBS

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