Progressive Medical Center Sc

LBN: Progressive Medical Center Sc
Progressive Medical Center Sc is an health care organization with primary practice located at 229 W Grand Ave Suite R, Bensenville IL 60106-3399. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Progressive Medical Center Sc can be contacted via phone (630) 238-9235, or through Henriquez, Gabriela via phone (630) 238-9235.

Contact Information

Primary practice address
229 W Grand Ave Suite R Bensenville IL 60106-3399
Phone: (630) 238-9235
Fax: (630) 238-0426
Website:
Map and Directions
Authorized official contact:
Name: Henriquez, Gabriela
Phone: (630) 238-9235

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103673 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036087152 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036078267 Illinois

Profile Details

NPI number 1851464549
LBN Legal business name Progressive Medical Center Sc
DBA Doing business as
Authorized official Henriquez, Gabriela
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 7th, 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 1851464549 NPPES
Illinois MEDICAID 036103673
Illinois MEDICAID 036109448
Illinois MEDICAID 036078267
Illinois MEDICAID 036087152
Illinois Other 02205538

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