Baskin, Jill Hoffmeyer

Baskin, Jill Hoffmeyer is an individual health care provider with primary practice located at 320 Lake St , Oak Park IL 60302-2612. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Baskin, Jill Hoffmeyer can be contacted via phone (708) 848-0528.

Contact Information

Primary practice address
320 Lake St Oak Park IL 60302-2612
Phone: (708) 848-0528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1659424018
LBN Legal business name Baskin, Jill Hoffmeyer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 9th, 2007 - about 17 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 1659424018 NPPES
Illinois MEDICAID 1001165

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