# HEALTHPARTNERS MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHPARTNERS MEDICAL GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154564110
- **Legal business name:** HEALTHPARTNERS MEDICAL GROUP, LLC
- **Authorized official:** BRIAN DONNELLY (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (219) 873-2905

## Contact information

- **Practice address:** 2307 LAPORTE AVE, SUITE 8, VALPARAISO, IN 46383-6997
- **Practice address phone:** (219) 476-8855
- **Practice address fax:** (219) 476-8840
- **Mailing address:** 35294 EAGLE WAY, CHICAGO, IL 60678-1352
- **Mailing address phone:** (219) 879-6531
- **Mailing address fax:** (219) 872-7869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 08/21/2009