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Contact Information

ALSIP INTEGRATED MEDICAL CENTER S C
9721 165TH ST
STE 21
ORLAND PARK, IL60467-5657
 Phone: 708-388-7500
 Fax: 708-942-8102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for ALSIP INTEGRATED MEDICAL CENTER S C

NPI # 1609809565
LBN Legal business name ALSIP INTEGRATED MEDICAL CENTER S C
Authorized official BECKY BOROS - (CLINIC DIRECTOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 12/09/2014 - About 12 years ago
Identifiers
License # 042617005
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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