Budris, Deborah M

Budris, Deborah M is an individual health care provider with primary practice located at 430 Pennsylvania Ave , Glen Ellyn IL 60137-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Budris, Deborah M can be contacted via phone (630) 469-9200.

Contact Information

Primary practice address
430 Pennsylvania Ave Glen Ellyn IL 60137-4464
Phone: (630) 469-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036071436 Illinois

Profile Details

NPI number 1821070442
LBN Legal business name Budris, Deborah M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jun 15th, 2022 - about 2 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 1821070442 NPPES
Illinois MEDICAID 036071436

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