River Grove Clinic

LBN: River Grove Clinic
River Grove Clinic is an health care organization with primary practice located at 8383 N Belmont , River Grove IL 60171. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. River Grove Clinic can be contacted via phone (708) 452-1200, or through Giacchino, Joseph L. via phone (708) 343-2500.

Contact Information

Primary practice address
8383 N Belmont River Grove IL 60171
Phone: (708) 452-1200
Fax: (708) 452-0157
Website:
Map and Directions
Authorized official contact:
Name: Giacchino, Joseph L. Doctor of Medicine (MD)
Phone: (708) 343-2500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1568527661
LBN Legal business name River Grove Clinic
DBA Doing business as
Authorized official Giacchino, Joseph L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568527661 NPPES
Illinois Other 714980 MEDICARE
Illinois Other 1616867 MEDICARE
Illinois MEDICAID 036067738 MEDICARE

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