CAPLEA FAMILY MEDICINE NPI 1053365197

NPI Information

NPI: 1053365197
Provider Name: CAPLEA FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
19624 GOVERNORS HWY
SUITE 9
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 647-9800
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CAPLEA FAMILY MEDICINE is a family medicine in Flossmoor, IL. The provider is 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. CAPLEA FAMILY MEDICINE NPI is 1053365197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19624 GOVERNORS HWY
SUITE 9
FLOSSMOOR, IL
ZIP 60422-077
Phone: (708) 647-9800
Fax: (708) 647-9800

The provider's authorized official is Geoffrey O Caplea .
The authorized official title is Owner and has the following contact phone number (708) 647-9800.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		036-106422	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213649	MEDICARE ID-TYPE UNSPECIFIED
2	=========	OTHER	ILLINOIS	TAX IDENTIFICATION NUMBER
3	036106422	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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