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Contact Information

GALILEE MEDICAL CENTER S.C.
4941 N. KEDZIE AVE
CHICAGO, IL60625
 Phone: 773-509-9099
 Fax: 773-509-9006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for GALILEE MEDICAL CENTER S.C.

NPI Number 1437104239
LBN Legal business name GALILEE MEDICAL CENTER S.C.
Authorized official NASER RUSTOM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 03/04/2009 - About 17 years ago
Identifiers
IL License # 042-616-998
IL Other 31604553 BCBS OF ILL
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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