Berena, Jon Michael

Berena, Jon Michael is an sole proprietor health care provider with primary practice located at 2090 Fox Ln , Des Plaines IL 60018-4029. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Berena, Jon Michael can be contacted via phone (773) 704-3620.

Contact Information

Primary practice address
2090 Fox Ln Des Plaines IL 60018-4029
Phone: (773) 704-3620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160009038 Illinois

Profile Details

NPI number 1174103931
LBN Legal business name Berena, Jon Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2021
Last updated Apr 14th, 2021 - about 4 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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