is a Specialist in Gurnee, Illinois. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1609827237. The last update date is .
's current location address is 1o3 S Greenleaf St, Gurnee, Illinois. You can contact this provider via phone number 8476628201 and fax number 8476628215. The mailing address for is 1o3 S Greenleaf St, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
---|---|
Address | 1o3 S Greenleaf St, Gurnee, Illinois |
Phone Number | 8476628201 |
Fax Number | 8476628215 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1609827237 |
---|---|
Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1o3 S Greenleaf St |
---|---|
City | Gurnee |
State | Illinois (IL) |
Post Code | 600313370 |
Phone Number | 8476628201 |
Fax Number | 8476628215 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1356495030 | IL | DUBIN NPI | |
6945148002 | IL | CIGNA - SAMUEL SOLOMON | |
O4920144 | IL | BCBS PROVIDER NUMBER | |
1558316281 | IL | SOLOMON NPI | |
453550 | IL | MEDICARE GRP | |
4044905 | IL | AETNA - SAMUEL SOLOMON | |
7248829002 | IL | CIGNA- BENJAMIN DUBIN, MD | |
K39549 | IL | MDR INVIDUAL SOLOMON | |
K39550 | IL | MDR INDIVIDUAL DUBIN | |
4392571 | IL | AETNA- BENJAMIN DUBIN,MD |
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