Holy Family Medical Clinic

LBN: Holy Family Medical Clinic
Holy Family Medical Clinic is an health care organization with primary practice located at 4941 W 14Th St , Cicero IL 60804-1419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Holy Family Medical Clinic can be contacted via phone (708) 780-7400, or through Pascual, Edwin via phone (708) 780-7400.

Contact Information

Primary practice address
4941 W 14Th St Cicero IL 60804-1419
Phone: (708) 780-7400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pascual, Edwin
Phone: (708) 780-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036067770 Illinois

Profile Details

NPI number 1689899551
LBN Legal business name Holy Family Medical Clinic
DBA Doing business as
Authorized official Pascual, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 1st, 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 1689899551 NPPES
Illinois Other 0031601680 BCBS
Illinois MEDICAID 036067770 BCBS

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