Lincoln Square Medical Center

LBN: Omni Health Pc
Lincoln Square Medical Center is an health care organization with primary practice located at 2501 W Lawrence Ave Suite C, Chicago IL 60625-2958. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Omni Health Pc can be contacted via phone (773) 989-3344, or through Siddiqui, Zaki via phone (773) 989-3344.

Contact Information

Primary practice address
2501 W Lawrence Ave Suite C Chicago IL 60625-2958
Phone: (773) 989-3344
Fax: (773) 989-8458
Website:
Map and Directions
Authorized official contact:
Name: Siddiqui, Zaki Doctor of Medicine (MD)
Phone: (773) 989-3344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036122637 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036100955 Illinois
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036126888 Illinois

Profile Details

NPI number 1518244573
LBN Legal business name Omni Health Pc
DBA Doing business as Lincoln Square Medical Center
Authorized official Siddiqui, Zaki Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 2011 - about 15 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 1518244573 NPPES
Illinois MEDICAID 036100955

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