Alonso, Oscar Luis

Alonso, Oscar Luis is an sole proprietor health care provider with primary practice located at 1121 Warren Ave Ste 200, Downers Grove IL 60515-3572. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alonso, Oscar Luis can be contacted via phone (630) 960-5310.

Contact Information

Primary practice address
1121 Warren Ave Ste 200 Downers Grove IL 60515-3572
Phone: (630) 960-5310
Fax: (630) 969-7841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036064967 Illinois

Profile Details

NPI number 1447285739
LBN Legal business name Alonso, Oscar Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Apr 16th, 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 1447285739 NPPES
Illinois Other 31602726 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036064967 BLUE CROSS BLUE SHIELD
Illinois Other 036064967 BLUE CROSS BLUE SHIELD

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