Bentrem, David
Bentrem, David is an individual health care provider with primary practice located at 675 N Saint Clair St Suite 100, Chicago IL 60611-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Bentrem, David can be contacted via phone (312) 695-1130.Contact Information
Primary practice address
675 N Saint Clair St Suite 100
Chicago IL 60611-5975
Phone: (312) 695-1130
Fax: (312) 695-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 036099284 | Illinois |
Profile Details
| NPI number | 1821072919 |
|---|---|
| LBN Legal business name | Bentrem, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 22nd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821072919 | NPPES |
| Illinois | MEDICAID | 036099284 |
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