Chediak, Ronald
Chediak, Ronald is an individual health care provider with primary practice located at 3000 W Deyoung St Ste 524, Marion IL 62959-5551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chediak, Ronald can be contacted via phone (618) 993-1421.Contact Information
Primary practice address
3000 W Deyoung St Ste 524
Marion IL 62959-5551
Phone: (618) 993-1421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036108590 | Illinois |
Profile Details
| NPI number | 1184627861 |
|---|---|
| LBN Legal business name | Chediak, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | May 10th, 2023 - 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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