Adrian, Rene H

Adrian, Rene H is an individual health care provider with primary practice located at 1775 Dempster , Park Ridge IL 60068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Adrian, Rene H can be contacted via phone (847) 723-7624.

Contact Information

Primary practice address
1775 Dempster Park Ridge IL 60068
Phone: (847) 723-7624
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036111002 Illinois

Profile Details

NPI number 1104905652
LBN Legal business name Adrian, Rene H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1104905652 NPPES
Illinois MEDICAID 036111002

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