47Th And Vicennes Professional

LBN: 47Th And Vicennes Professional
47Th And Vicennes Professional is an health care organization with primary practice located at 504 E 47Th St , Chicago IL 60653-4208. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. 47Th And Vicennes Professional can be contacted via phone (773) 624-0613, or through Sabayo, Zarooq via phone (773) 624-0613.

Contact Information

Primary practice address
504 E 47Th St Chicago IL 60653-4208
Phone: (773) 624-0613
Fax: (773) 624-0204
Website:
Map and Directions
Authorized official contact:
Name: Sabayo, Zarooq
Phone: (773) 624-0613

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054014942 Illinois

Profile Details

NPI number 1942416938
LBN Legal business name 47Th And Vicennes Professional
DBA Doing business as
Authorized official Sabayo, Zarooq
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jun 18th, 2008 - about 18 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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