Chamberlin, Jack R

Chamberlin, Jack R is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste G01 Wimmer Building, Elk Grove Village IL 60007-3372. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Chamberlin, Jack R can be contacted via phone (847) 981-3680.

Contact Information

Primary practice address
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372
Phone: (847) 981-3680
Fax: (847) 956-5122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036086925 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-086925 Illinois

Profile Details

NPI number 1215980321
LBN Legal business name Chamberlin, Jack R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 10th, 2015 - about 9 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 1215980321 NPPES
Illinois Other IL6305015 MEDICARE PTAN LOC 15
Illinois Other 1720371669 MEDICARE PTAN LOC 15
Illinois Other IL6304015 MEDICARE PTAN LOC 15
Illinois Other P01008734 MEDICARE PTAN LOC 15

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