Health And Renewal Internal Medicine Sc
LBN: Health And Renewal Internal Medicine Sc
Health And Renewal Internal Medicine Sc is an health care organization with primary practice located at 2850 W 95Th St Suite 301, Evergreen Park IL 60805-2735. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Health And Renewal Internal Medicine Sc can be contacted via phone (708) 389-2200, or through Dixon-Grevious, Dolores Louise via phone (312) 850-3855.
Contact Information
Primary practice address
2850 W 95Th St Suite 301
Evergreen Park IL 60805-2735
Phone: (708) 389-2200
Fax: (708) 389-2211
Website:
Authorized official contact:
Name: Dixon-Grevious, Dolores Louise Doctor of Medicine (MD)
Phone: (312) 850-3855
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 036100552 | Illinois |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 01060010A | Indiana |
Profile Details
| NPI number | 1235467903 |
|---|---|
| LBN Legal business name | Health And Renewal Internal Medicine Sc |
| DBA Doing business as | |
| Authorized official | Dixon-Grevious, Dolores Louise Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2009 |
| Last updated | Nov 18th, 2009 - about 17 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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