I2 Medicine Llc
LBN: I2 Medicine Llc
I2 Medicine Llc is an health care organization with primary practice located at 1100 Lake St Ste 125 , Oak Park IL 60301-6702. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
I2 Medicine Llc can be contacted via phone (773) 490-5611, or through Patawaran, Dominic D via phone (773) 490-5611.
Contact Information
Primary practice address
1100 Lake St Ste 125
Oak Park IL 60301-6702
Phone: (773) 490-5611
Fax: (312) 276-8684
Website:
Authorized official contact:
Name: Patawaran, Dominic D Doctor of Medicine (MD)
Phone: (773) 490-5611
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1912559303 |
|---|---|
| LBN Legal business name | I2 Medicine Llc |
| DBA Doing business as | |
| Authorized official | Patawaran, Dominic D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2019 |
| Last updated | Jul 15th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912559303 | NPPES |
| Illinois | Other | 036899826 | LICENSE |
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