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Contact Information

HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
1 MEMORIAL DR
ALTON, IL62002-6722
 Phone: 616-433-7066
 Fax: 314-653-4088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC

NPI # 1215355110
LBN Legal business name HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
Authorized official FRANK WILLIAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2014
Last updated 06/01/2023 - About 3 years ago
Identifiers n/a
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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