Pingree Grove & C Side Fpd

LBN: Pingree Grove & C Side Fpd
Pingree Grove & C Side Fpd is an health care organization with primary practice located at 39W160 Plank Rd , Elgin IL 60123-8002. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Pingree Grove & C Side Fpd can be contacted via phone (847) 436-5335, or through Crocetti, Mitchell via phone (847) 741-3151.

Contact Information

Primary practice address
39W160 Plank Rd Elgin IL 60123-8002
Phone: (847) 436-5335
Fax: (847) 436-6420
Website:
Map and Directions
Authorized official contact:
Name: Crocetti, Mitchell
Phone: (847) 741-3151

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 97907 Illinois

Profile Details

NPI number 1003914540
LBN Legal business name Pingree Grove & C Side Fpd
DBA Doing business as
Authorized official Crocetti, Mitchell
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 17th, 2020 - about 6 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 1003914540 NPPES
Illinois Other 04523024 BCBS

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