Ackermann, Evelyn S

Ackermann, Evelyn S is an individual health care provider with primary practice located at 1670 Capital Street Suite 100, Elgin IL 60124-7837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ackermann, Evelyn S can be contacted via phone (847) 888-2020.

Contact Information

Primary practice address
1670 Capital Street Suite 100 Elgin IL 60124-7837
Fax: (847) 888-0652
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036077512 Illinois

Profile Details

NPI number 1053308676
LBN Legal business name Ackermann, Evelyn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053308676 NPPES
Illinois MEDICAID 036077512

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