Glenwood Medical Corporation Ltd

LBN: Glenwood Medical Corporation Ltd
Glenwood Medical Corporation Ltd is an health care organization with primary practice located at 10735 W 159Th Street , Orland Park IL 60467. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Glenwood Medical Corporation Ltd can be contacted via phone (708) 873-7775, or through Bray, James B via phone (708) 873-7775.

Contact Information

Primary practice address
10735 W 159Th Street Orland Park IL 60467
Phone: (708) 873-7775
Fax: (708) 873-0192
Website:
Map and Directions
Authorized official contact:
Name: Bray, James B Doctor of Medicine (MD)
Phone: (708) 873-7775

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036059084 Illinois

Profile Details

NPI number 1912947888
LBN Legal business name Glenwood Medical Corporation Ltd
DBA Doing business as
Authorized official Bray, James B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 9th, 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 1912947888 NPPES
Illinois MEDICAID 036059084

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