Endocrine Diabetes Clinic Ltd

LBN: Endocrine Diabetes Clinic Ltd
Endocrine Diabetes Clinic Ltd is an health care organization with primary practice located at 3830 W 95Th St , Evergreen Park IL 60805-2004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Endocrine Diabetes Clinic Ltd can be contacted via phone (708) 479-6522, or through Altarshan, Abdallah via phone (708) 479-6522.

Contact Information

Primary practice address
3830 W 95Th St Evergreen Park IL 60805-2004
Phone: (708) 479-6522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Altarshan, Abdallah Doctor of Medicine (MD)
Phone: (708) 479-6522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036093254 Illinois

Profile Details

NPI number 1598006546
LBN Legal business name Endocrine Diabetes Clinic Ltd
DBA Doing business as
Authorized official Altarshan, Abdallah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2013
Last updated Mar 14th, 2013 - about 13 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 1598006546 NPPES
Illinois MEDICAID 036093254

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