Total Care Medical Group

LBN: Total Care Medical Clinic
Total Care Medical Group is an health care organization with primary practice located at 6929 Ogden Ave , Berwyn IL 60402-3649. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Total Care Medical Clinic can be contacted via phone (708) 484-9472, or through Spishakoff, Leonard M via phone (708) 484-9506.

Contact Information

Primary practice address
6929 Ogden Ave Berwyn IL 60402-3649
Phone: (708) 484-9472
Fax: (708) 484-9473
Website:
Map and Directions
Authorized official contact:
Name: Spishakoff, Leonard M Doctor of Medicine (MD)
Phone: (708) 484-9506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 036091578 Illinois

Profile Details

NPI number 1548447956
LBN Legal business name Total Care Medical Clinic
DBA Doing business as Total Care Medical Group
Authorized official Spishakoff, Leonard M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Apr 13th, 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 1548447956 NPPES
Illinois MEDICAID 036091578

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