Bulmash, Jack M
Bulmash, Jack M is an sole proprietor health care provider with primary practice located at 5000 S 5Th Ave , Hines IL 60141-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bulmash, Jack M can be contacted via phone (708) 202-5636.Contact Information
Primary practice address
5000 S 5Th Ave
Hines IL 60141-3030
Phone: (708) 202-5636
Fax: (312) 951-1488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 03644313 | Illinois |
Profile Details
| NPI number | 1700864725 |
|---|---|
| LBN Legal business name | Bulmash, Jack M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jul 19th, 2010 - about 14 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 | 1700864725 | NPPES |
| Illinois | MEDICAID | 036044313 |
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