Edward J Fesco Md Sc

LBN: Edward J Fesco Md Sc
Edward J Fesco Md Sc is an health care organization with primary practice located at 206 Marquette St Room 206, Lasalle IL 61301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Edward J Fesco Md Sc can be contacted via phone (815) 223-3616, or through Fesco, Edward John via phone (815) 223-3616.

Contact Information

Primary practice address
206 Marquette St Room 206 Lasalle IL 61301
Phone: (815) 223-3616
Fax: (815) 223-0550
Website:
Map and Directions
Authorized official contact:
Name: Fesco, Edward John Doctor of Medicine (MD)
Phone: (815) 223-3616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036034820 Illinois

Profile Details

NPI number 1659538270
LBN Legal business name Edward J Fesco Md Sc
DBA Doing business as
Authorized official Fesco, Edward John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2008
Last updated May 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659538270 NPPES
Illinois Other 05000151 BC & BS
Illinois Other 021757686 BC & BS
Illinois MEDICAID 036034820 BC & BS

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