Covenant Physiatry,Sc

LBN: Covenant Physiatry,Sc
Covenant Physiatry,Sc is an health care organization with primary practice located at 1590 W Algonquin Rd Suite 167, Hoffman Estates IL 60192-1575. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Covenant Physiatry,Sc can be contacted via phone (847) 852-6478, or through Meesala, Sandhya R via phone (847) 852-6478.

Contact Information

Primary practice address
1590 W Algonquin Rd Suite 167 Hoffman Estates IL 60192-1575
Phone: (847) 852-6478
Fax: (847) 382-1646
Website:
Map and Directions
Authorized official contact:
Name: Meesala, Sandhya R Doctor of Medicine (MD)
Phone: (847) 852-6478

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036110423 Illinois

Profile Details

NPI number 1710150453
LBN Legal business name Covenant Physiatry,Sc
DBA Doing business as
Authorized official Meesala, Sandhya R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Jun 29th, 2015 - about 11 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 1710150453 NPPES
Illinois Other 0001638924 BS#
Illinois MEDICAID 036110423 BS#

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