Cary Grove Medical Associates, S.C.

LBN: Cary Grove Medical Associates, S.C.
Cary Grove Medical Associates, S.C. is an health care organization with primary practice located at 7105 Virginia Rd Ste 7 , Crystal Lake IL 60014-7986. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Cary Grove Medical Associates, S.C. can be contacted via phone (815) 444-1913, or through Daya, Sol Bicomong via phone (815) 444-1913.

Contact Information

Primary practice address
7105 Virginia Rd Ste 7 Crystal Lake IL 60014-7986
Fax: (815) 444-1951
Website:
Authorized official contact:
Name: Daya, Sol Bicomong Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Illinois

Profile Details

NPI number 1780715292
LBN Legal business name Cary Grove Medical Associates, S.C.
DBA Doing business as
Authorized official Daya, Sol Bicomong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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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