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Contact Information

NEPTUNE
2189 N IL ROUTE 83 STE 220
ROUND LAKE BEACH, IL60073-4906
 Phone: 312-857-5382
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for NEPTUNE

NPI Number 1720447667
LBN Legal business name NEPTUNE
Authorized official KUMAR DINESH - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2016
Last updated 05/09/2016 - About 10 years ago
Identifiers
ZZ License # 11O49IK
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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