Altergott, Rudolph Alan

Altergott, Rudolph Alan is an individual health care provider with primary practice located at 2650 Warrenville Rd Ste. 280, Downers Grove IL 60515-1748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Altergott, Rudolph Alan can be contacted via phone (630) 324-7915.

Contact Information

Primary practice address
2650 Warrenville Rd Ste. 280 Downers Grove IL 60515-1748
Phone: (630) 324-7915
Fax: (630) 324-7946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036064372 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 1048009 Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1048009 Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036064372 Illinois

Profile Details

NPI number 1417910803
LBN Legal business name Altergott, Rudolph Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Feb 20th, 2023 - about last year

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 1417910803 NPPES
Other 526620 COOK GROUP
MEDICAID 36064372 COOK GROUP
Other 394390 COOK GROUP

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