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Contact Information

B.O.O.C. INC.
15475 S PARK AVE STE 101
SOUTH HOLLAND, IL60473-1378
 Phone: 312-818-8120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for B.O.O.C. INC.

NPI Number 1881422293
LBN Legal business name B.O.O.C. INC.
Authorized official LANCE DAVIS - (PRESIDENT - CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2024
Last updated 07/25/2024 - More than a year 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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