St .Clair Pedaitrics, Llc

LBN: St .Clair Pedaitrics, Llc
St .Clair Pedaitrics, Llc is an health care organization with primary practice located at 4941 Benchmark Centre Dr Suite 100, Swansea IL 62226-2038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. St .Clair Pedaitrics, Llc can be contacted via phone (618) 624-9970, or through Garrison, Gregory T via phone (618) 624-9970.

Contact Information

Primary practice address
4941 Benchmark Centre Dr Suite 100 Swansea IL 62226-2038
Phone: (618) 624-9970
Fax: (618) 624-9973
Website:
Map and Directions
Authorized official contact:
Name: Garrison, Gregory T Doctor of Medicine (MD)
Phone: (618) 624-9970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1073705737
LBN Legal business name St .Clair Pedaitrics, Llc
DBA Doing business as
Authorized official Garrison, Gregory T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 2007 - about 19 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 1073705737 NPPES
Illinois Other 08223014 BLUE CROSS BLUE SHIELD

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