Center For Reconstructive Surgery Of Oak Lawn
LBN: Novamed Surgery Center Of Oak Lawn, Llc
Center For Reconstructive Surgery Of Oak Lawn is an health care organization with primary practice located at 6311 W 95Th St , Oak Lawn IL 60453-2201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Novamed Surgery Center Of Oak Lawn, Llc can be contacted via phone (708) 499-3355, or through Baldock, Jennifer Boyd via phone (615) 234-5954.
Contact Information
Primary practice address
6311 W 95Th St
Oak Lawn IL 60453-2201
Phone: (708) 499-3355
Fax: (708) 425-5654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 7002843 | Illinois |
Profile Details
| NPI number | 1518967082 |
|---|---|
| LBN Legal business name | Novamed Surgery Center Of Oak Lawn, Llc |
| DBA Doing business as | Center For Reconstructive Surgery Of Oak Lawn |
| Authorized official | Baldock, Jennifer Boyd |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Nov 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518967082 | NPPES |
| Other | P00163716 | RR MEDICARE |
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