Buffalo Grove Medical Center

LBN: Buffalo Grove Medical Center
Buffalo Grove Medical Center is an health care organization with primary practice located at 333 W Dundee Rd , Buffalo Grove IL 60089-3545. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Buffalo Grove Medical Center can be contacted via phone (847) 243-0355, or through Shushunov, Sergey via phone (847) 243-0355.

Contact Information

Primary practice address
333 W Dundee Rd Buffalo Grove IL 60089-3545
Phone: (847) 243-0355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shushunov, Sergey Doctor of Medicine (MD)
Phone: (847) 243-0355

Health care specialties

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

Profile Details

NPI number 1114487857
LBN Legal business name Buffalo Grove Medical Center
DBA Doing business as
Authorized official Shushunov, Sergey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2019
Last updated Mar 20th, 2019 - about 7 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 1114487857 NPPES
Illinois MEDICAID 036070073

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