Vista Family Medicine Inc

LBN: Vista Family Medicine Inc
Vista Family Medicine Inc is an health care organization with primary practice located at 10961 S Kedzie Ave , Chicago IL 60655-2219. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Vista Family Medicine Inc can be contacted via phone (773) 239-9100, or through Valek, James Paul via phone (773) 239-9100.

Contact Information

Primary practice address
10961 S Kedzie Ave Chicago IL 60655-2219
Fax: (773) 239-9102
Website:
Authorized official contact:
Name: Valek, James Paul Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1144214644
LBN Legal business name Vista Family Medicine Inc
DBA Doing business as
Authorized official Valek, James Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 1st, 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 1144214644 NPPES
Illinois Other 1053305557 PROVIDER NPI
Illinois Other DF2121 PROVIDER NPI
Illinois Other P00347253 PROVIDER NPI
Illinois Other 1235321704 PROVIDER NPI

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