Waukegan Medical Center
LBN: Waukegan Medical And Rehabilitation
Waukegan Medical Center is an health care organization with primary practice located at 1720 Grand Ave , Waukegan IL 60085-3502. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Chiropractic Providers / Rehabilitation is the primary health care specialty.
Waukegan Medical And Rehabilitation can be contacted via phone (847) 625-0202, or through Bracic, Ivan via phone (847) 625-0202.
Contact Information
Primary practice address
1720 Grand Ave
Waukegan IL 60085-3502
Phone: (847) 625-0202
Fax: (847) 625-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 038007449 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160-004131 | Illinois |
Profile Details
| NPI number | 1396892352 |
|---|---|
| LBN Legal business name | Waukegan Medical And Rehabilitation |
| DBA Doing business as | Waukegan Medical Center |
| Authorized official | Bracic, Ivan Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jan 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396892352 | NPPES |
| Illinois | Other | 04932043 | BLUE CROSS BLUE SHIELD |
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