MY DOC S.C.; NPI #1376746198

Contact Information

MY DOC S.C.

2403 S OAKLEY AVE
CHICAGO, IL 60608

Phone: 773-376-0160
Fax: 773-376-0350
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for MY DOC S.C.

NPI Number 1376746198

LBN Legal business name MY DOC S.C.

Authorized official LILLIAN FOCA-MUNOZ - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/08/2007

Last updated 12/14/2018 - About 7 years ago

Identifiers

License #

036094011

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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