Chilicki, David

Chilicki, David is an sole proprietor health care provider with primary practice located at 206 W Maple Ave Apt 1D , Libertyville IL 60048-2166. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as his primary health care specialty. Chilicki, David can be contacted via phone (224) 715-0376.

Contact Information

Primary practice address
206 W Maple Ave Apt 1D Libertyville IL 60048-2166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209022552 Illinois

Profile Details

NPI number 1508453374
LBN Legal business name Chilicki, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 2020 - about 5 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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