INDEPENDENT MEDICAL GROUP SC NPI 1598319659

NPI Information

NPI: 1598319659
Provider Name: INDEPENDENT MEDICAL GROUP SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 BATSON CT STE 204
NEW LENOX, IL
ZIP 60451
Phone: (815) 462-1200
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INDEPENDENT MEDICAL GROUP SC is a family medicine in New Lenox, 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. INDEPENDENT MEDICAL GROUP SC NPI is 1598319659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 BATSON CT STE 204
NEW LENOX, IL
ZIP 60451-571
Phone: (815) 462-1200

The provider's authorized official is Rajasekhar Kolla .
The authorized official title is Owner and has the following contact phone number (773) 386-4797.

The enumeration date for this NPI number is 7/27/2019 and was last updated on 9/3/2019.

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				Yes

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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