Bartolome, Juanito

Bartolome, Juanito is an individual health care provider with primary practice located at 2525 S Michigan Ave B-390, Chicago IL 60616-2333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bartolome, Juanito can be contacted via phone (312) 567-6691.

Contact Information

Primary practice address
2525 S Michigan Ave B-390 Chicago IL 60616-2333
Phone: (312) 567-6691
Fax: (312) 328-7895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois

Profile Details

NPI number 1548246564
LBN Legal business name Bartolome, Juanito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1548246564 NPPES
Illinois Other 01621679 BCBS OF IL

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