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Contact Information

BOFFA MEDICAL GROUP LLC
5140 N CALIFORNIA AVE
SUITE 780
CHICAGO, IL60625-3645
 Phone: 773-273-6810
 Fax: 773-273-5532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BOFFA MEDICAL GROUP LLC

NPI Number 1689687527
LBN Legal business name BOFFA MEDICAL GROUP LLC
Authorized official JAMES BOFFA - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 09/28/2009 - About 17 years ago
Identifiers
IL Other 0001630046 BCBS OF IL GROUP NUMBER
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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