Bean, Jonathan Frederick

Bean, Jonathan Frederick is an individual health care provider with primary practice located at 1500 S Fairfield Ave , Chicago IL 60608-1782. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Bean, Jonathan Frederick can be contacted via phone (773) 542-2000.

Contact Information

Primary practice address
1500 S Fairfield Ave Chicago IL 60608-1782
Phone: (773) 542-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.130998 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036.130998 Illinois
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036.130998 Illinois

Profile Details

NPI number 1356583413
LBN Legal business name Bean, Jonathan Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Jan 31st, 2020 - about 5 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 1356583413 NPPES
Illinois MEDICAID 036.130998

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