Family Medical Dental Center

LBN: Luis A Osorio M.D.S.C.
Family Medical Dental Center is an health care organization with primary practice located at 6721 Cermak Rd , Berwyn IL 60402-2216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Luis A Osorio M.D.S.C. can be contacted via phone (708) 749-0277, or through Osorio, Luis Antonio via phone (708) 749-0277.

Contact Information

Primary practice address
6721 Cermak Rd Berwyn IL 60402-2216
Phone: (708) 749-0277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Osorio, Luis Antonio Doctor of Medicine (MD)
Phone: (708) 749-0277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.087612 Illinois

Profile Details

NPI number 1346514460
LBN Legal business name Luis A Osorio M.D.S.C.
DBA Doing business as Family Medical Dental Center
Authorized official Osorio, Luis Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 7th, 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 1346514460 NPPES
Illinois MEDICAID 036087612

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