Anthony, Justin Robert

Anthony, Justin Robert is an sole proprietor health care provider with primary practice located at 9600 Gross Point Rd , Skokie IL 60076-1214. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anthony, Justin Robert can be contacted via phone (847) 933-6950.

Contact Information

Primary practice address
9600 Gross Point Rd Skokie IL 60076-1214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003783 Illinois

Profile Details

NPI number 1205143567
LBN Legal business name Anthony, Justin Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 14 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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