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
Fax: (847) 776-1424
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083699722 NPPES
Illinois Other 01618781 BC/BS
Illinois MEDICAID 036073954 BC/BS
Illinois Other 250002867 BC/BS

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