Blendonohy, Peter M
Blendonohy, Peter M is an individual health care provider with primary practice located at 909 E Palatine Rd , Palatine IL 60074-5551. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blendonohy, Peter M can be contacted via phone (847) 776-1400.Contact Information
Primary practice address
909 E Palatine Rd
Palatine IL 60074-5551
Phone: (847) 776-1400
Fax: (847) 776-1424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036073954 | Illinois |
Profile Details
| NPI number | 1083699722 |
|---|---|
| LBN Legal business name | Blendonohy, Peter M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Oct 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083699722 | NPPES |
| Illinois | Other | 01618781 | BC/BS |
| Illinois | MEDICAID | 036073954 | BC/BS |
| Illinois | Other | 250002867 | BC/BS |
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