Libertyville Neurosurgery, Llc

LBN: Libertyville Neurosurgery, Llc
Libertyville Neurosurgery, Llc is an health care organization with primary practice located at 712 S Milwaukee Ave , Libertyville IL 60048-3279. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Libertyville Neurosurgery, Llc can be contacted via phone (847) 362-1848, or through Citow, Jonathan S via phone (847) 362-1848.

Contact Information

Primary practice address
712 S Milwaukee Ave Libertyville IL 60048-3279
Phone: (847) 362-1848
Fax: (847) 362-3351
Website:
Map and Directions
Authorized official contact:
Name: Citow, Jonathan S
Phone: (847) 362-1848

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1912170523
LBN Legal business name Libertyville Neurosurgery, Llc
DBA Doing business as
Authorized official Citow, Jonathan S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
Last updated Feb 6th, 2012 - about 14 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 1912170523 NPPES
Illinois MEDICAID 36066065

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