John W Matseshe Md Pllc

LBN: John W Matseshe Md Pllc
John W Matseshe Md Pllc is an health care organization with primary practice located at 1445 N Hunt Club Rd Ste 303 , Gurnee IL 60031-2603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. John W Matseshe Md Pllc can be contacted via phone (847) 855-3150, or through Matseshe, John W via phone (847) 899-7165.

Contact Information

Primary practice address
1445 N Hunt Club Rd Ste 303 Gurnee IL 60031-2603
Phone: (847) 855-3150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matseshe, John W Doctor of Medicine (MD)
Phone: (847) 899-7165

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1487284881
LBN Legal business name John W Matseshe Md Pllc
DBA Doing business as
Authorized official Matseshe, John W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2020
Last updated Jan 24th, 2020 - about 6 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 1487284881 NPPES
Illinois MEDICAID 036047991

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