Albisu, Jose Antonio
Albisu, Jose Antonio is an sole proprietor health care provider with primary practice located at 850 W Irving Park Rd , Chicago IL 60613-3077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Albisu, Jose Antonio can be contacted via phone (847) 858-2821.Contact Information
Primary practice address
850 W Irving Park Rd
Chicago IL 60613-3077
Phone: (847) 858-2821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036075120 | Illinois |
Profile Details
| NPI number | 1336272913 |
|---|---|
| LBN Legal business name | Albisu, Jose Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Sep 28th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336272913 | NPPES |
| Illinois | MEDICAID | 036075120 |
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