Cantu, John A
Cantu, John A is an sole proprietor health care provider with primary practice located at 1 Erie Ct Suite 7040, Oak Park IL 60302-2566. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cantu, John A can be contacted via phone (708) 763-3106.Contact Information
Primary practice address
1 Erie Ct Suite 7040
Oak Park IL 60302-2566
Phone: (708) 763-3106
Fax: (708) 848-6539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38006651 | Illinois |
Profile Details
| NPI number | 1861435216 |
|---|---|
| LBN Legal business name | Cantu, John A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 15th, 2011 - about 13 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 | 1861435216 | NPPES |
| Illinois | Other | 10588003 | CAQH |
| Illinois | MEDICAID | 38006651 | CAQH |
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