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Contact Information

STATEWIDE AGENCY
1920 WAUKEGAN RD
SUITE 5
GLENVIEW, IL60025-1717
 Phone: 847-724-3600
 Fax: 847-241-0202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for STATEWIDE AGENCY

NPI # 1881054757
LBN Legal business name STATEWIDE AGENCY
Authorized official HAK JIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Identifiers
IL License # 100287909
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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