Lincoln Pediatric Center, Pc

LBN: Lincoln Pediatric Center, Pc
Lincoln Pediatric Center, Pc is an health care organization with primary practice located at 5641 N Lincoln Ave , Chicago IL 60659-4921. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lincoln Pediatric Center, Pc can be contacted via phone (773) 728-4784, or through Ruiz, Joann Eviota via phone (773) 728-4784.

Contact Information

Primary practice address
5641 N Lincoln Ave Chicago IL 60659-4921
Phone: (773) 728-4784
Fax: (773) 728-4759
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Joann Eviota
Phone: (773) 728-4784

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036085554 Illinois

Profile Details

NPI number 1609836931
LBN Legal business name Lincoln Pediatric Center, Pc
DBA Doing business as
Authorized official Ruiz, Joann Eviota
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 26th, 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 1609836931 NPPES
Illinois MEDICAID 036085554

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