Elzoobi Pediatrics Ltd

LBN: Elzoobi Pediatrics Ltd
Elzoobi Pediatrics Ltd is an health care organization with primary practice located at 3214 N Illinois St , Swansea IL 62226-2330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Elzoobi Pediatrics Ltd can be contacted via phone (618) 233-0742, or through Elzoobi, Khaldoun via phone (618) 233-0742.

Contact Information

Primary practice address
3214 N Illinois St Swansea IL 62226-2330
Phone: (618) 233-0742
Fax: (618) 233-9784
Website:
Map and Directions
Authorized official contact:
Name: Elzoobi, Khaldoun Doctor of Medicine (MD)
Phone: (618) 233-0742

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090591 Illinois

Profile Details

NPI number 1518126648
LBN Legal business name Elzoobi Pediatrics Ltd
DBA Doing business as
Authorized official Elzoobi, Khaldoun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Apr 21st, 2011 - about 15 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 1518126648 NPPES
Other 112518 BCBS OF MO
MEDICAID 036090591 BCBS OF MO
Other 08222610 BCBS OF MO

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