Medcoa Dental Center Pc

LBN: Medcoa Dental Center Pc
Medcoa Dental Center Pc is an health care organization with primary practice located at 1000 Grand Canyon Parkway #308 , Hoffman Estates IL 60169-1705. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Medcoa Dental Center Pc can be contacted via phone (847) 843-1170, or through So, Eun via phone (847) 843-1170.

Contact Information

Primary practice address
1000 Grand Canyon Parkway #308 Hoffman Estates IL 60169-1705
Phone: (847) 843-1170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: So, Eun
Phone: (847) 843-1170

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019021947 Illinois

Profile Details

NPI number 1790171023
LBN Legal business name Medcoa Dental Center Pc
DBA Doing business as
Authorized official So, Eun
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2015
Last updated Apr 14th, 2015 - about 11 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 1790171023 NPPES
Illinois MEDICAID 019021947
Illinois Other 1619015062

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