Alzate, Juan C

Alzate, Juan C is an individual health care provider with primary practice located at 712 S Milwaukee Ave , Libertyville IL 60048-3279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Alzate, Juan C can be contacted via phone (847) 362-1848.

Contact Information

Primary practice address
712 S Milwaukee Ave Libertyville IL 60048-3279
Phone: (847) 362-1848
Fax: (847) 362-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036121596 Illinois

Profile Details

NPI number 1922272830
LBN Legal business name Alzate, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Feb 6th, 2012 - about 12 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 1922272830 NPPES
Illinois MEDICAID 036121596

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