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Contact Information

MORAINE EMERGENCY PHYSICIANS
4102 MEDICAL CENTER DRIVE
MCHENRY, IL60050
 Phone: 815-344-5000
 Fax: 815-759-4293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MORAINE EMERGENCY PHYSICIANS

NPI Number 1457395667
LBN Legal business name MORAINE EMERGENCY PHYSICIANS
Authorized official DOUGLAS WEBSTER - (OWNER/GENERAL PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
IL Other 05623906 BLUE SHIELD
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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