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Contact Information

CONNECTIONS MEDICAL GROUP ASSOCIATES LLC
2081 CALISTOGA DR STE 2S
NEW LENOX, IL60451-4833
 Phone: 815-418-6070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CONNECTIONS MEDICAL GROUP ASSOCIATES LLC

NPI Number 1548697618
LBN Legal business name CONNECTIONS MEDICAL GROUP ASSOCIATES LLC
Authorized official SEMONE WEST - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2013
Last updated 05/19/2023 - About 3 years ago
Identifiers
IL License # 036111615
IL License # 036126914
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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