Prohealth Medical Center

LBN: Ivan R Lopez Md Pc
Prohealth Medical Center is an health care organization with primary practice located at 2003 Montgomery Rd Suite 106 107, Aurora IL 60504-9078. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ivan R Lopez Md Pc can be contacted via phone (630) 340-4211, or through Lopez, Ivan Roger via phone (708) 890-9115.

Contact Information

Primary practice address
2003 Montgomery Rd Suite 106 107 Aurora IL 60504-9078
Phone: (630) 340-4211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Ivan Roger Doctor of Medicine (MD)
Phone: (708) 890-9115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036109448 Illinois

Profile Details

NPI number 1740512359
LBN Legal business name Ivan R Lopez Md Pc
DBA Doing business as Prohealth Medical Center
Authorized official Lopez, Ivan Roger Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2010
Last updated Sep 13th, 2022 - about 4 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 1740512359 NPPES
Illinois MEDICAID 036109448
Illinois Other 36109448

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