Bailitz, John M.

Bailitz, John M. is an individual health care provider with primary practice located at 211 E. Ontario St. Northwestern Medicine, Chicago IL 60611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bailitz, John M. can be contacted via phone (312) 694-7000.

Contact Information

Primary practice address
211 E. Ontario St. Northwestern Medicine Chicago IL 60611
Phone: (312) 694-7000
Fax: (312) 926-6274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036105881 Illinois

Profile Details

NPI number 1710988654
LBN Legal business name Bailitz, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 10th, 2017 - about 7 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 1710988654 NPPES
Illinois Other 036105881 ILLINOIS LICENSE

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