Palos Medical Group, Llc.

LBN: Palos Medical Group, Llc.
Palos Medical Group, Llc. is an health care organization with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Palos Medical Group, Llc. can be contacted via phone (708) 590-5304, or through Moisan, Terrence C via phone (708) 923-5000.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Phone: (708) 590-5304
Fax: (708) 590-5308
Website:
Map and Directions
Authorized official contact:
Name: Moisan, Terrence C
Phone: (708) 923-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1255660312
LBN Legal business name Palos Medical Group, Llc.
DBA Doing business as
Authorized official Moisan, Terrence C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2009
Last updated Jan 26th, 2024 - about 2 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 1255660312 NPPES
Illinois MEDICAID 36102101

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