Alengo, David J

Alengo, David J is an individual health care provider with primary practice located at 431 W Liberty St , Wauconda IL 60084-2452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alengo, David J can be contacted via phone (847) 526-2151.

Contact Information

Primary practice address
431 W Liberty St Wauconda IL 60084-2452
Phone: (847) 526-2151
Fax: (847) 526-2017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036083468 Illinois

Profile Details

NPI number 1356335996
LBN Legal business name Alengo, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated May 19th, 2011 - about 15 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 1356335996 NPPES
Illinois MEDICAID 036083468

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