Mavena Derma Centers, Inc.

LBN: Mavena Derma Centers, Inc.
Mavena Derma Centers, Inc. is an health care organization with primary practice located at 1100 W Central Rd 306, Arlington Heights IL 60005-2402. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mavena Derma Centers, Inc. can be contacted via phone (847) 483-9621, or through Mcginnis, Jerri via phone (847) 483-9621.

Contact Information

Primary practice address
1100 W Central Rd 306 Arlington Heights IL 60005-2402
Phone: (847) 483-9621
Fax: (847) 483-9625
Website:
Map and Directions
Authorized official contact:
Name: Mcginnis, Jerri
Phone: (847) 483-9621

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1396768727
LBN Legal business name Mavena Derma Centers, Inc.
DBA Doing business as
Authorized official Mcginnis, Jerri
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 28th, 2007 - about 19 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 1396768727 NPPES
Illinois Other 01636236 BCBS

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