NPI 1114208642 LAKE IMMEDIATE CARE & CLINIC S C ISLAND LAKE IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lake Immediate Care & Clinic S C - NPI: 1114208642

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: LAKE IMMEDIATE CARE & CLINIC S C
NPI Number: 1114208642
Entity Type Code: Organizational (2)
Authorized Official Name: EBERECHUKWU IBE
(PRESIDENT)
Mailing Address: 452 W State Rd Ste D
Island Lake
State: IL US
Postal Code: 600428438
Phone Number: 8475191061
Fax Number:
NPI Enumeration Date: 08/29/2011
NPI Last Update Date: 10/27/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: 036113328
Healthcare Provider Taxonomy:
(Secondary)
N
State: IL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


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