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Contact Information

DUBOIS-DOUGLAS, INC.
1016 W JACKSON BLVD
CHICAGO, IL60607-2914
 Phone: 312-288-8640
 Fax: 312-243-1516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Health Maintenance Organization

302R00000X
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for DUBOIS-DOUGLAS, INC.

NPI Number 1982046355
LBN Legal business name DUBOIS-DOUGLAS, INC.
Authorized official FUNMI MARTINS-MENSAH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2013
Last updated 10/20/2016 - About 10 years ago
Identifiers
IL License # 12HM519014
IL License # 44CSA00737
IL License # QMXHPQ0915
IL License # QXIPQ0000096439
IL Medicaid 0100
IL Medicaid 0301
IL Medicaid 0302
IL Medicaid 0802
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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