Cuesta Isabel, Ivan Jose

Cuesta Isabel, Ivan Jose is an sole proprietor health care provider with primary practice located at 1775 Dempster St Ste Aip , Park Ridge IL 60068-1143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Cuesta Isabel, Ivan Jose can be contacted via phone (847) 723-6790.

Contact Information

Primary practice address
1775 Dempster St Ste Aip Park Ridge IL 60068-1143
Phone: (847) 723-6790
Fax: (847) 723-6799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MT209694 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036156358 Illinois

Profile Details

NPI number 1851775860
LBN Legal business name Cuesta Isabel, Ivan Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2015
Last updated Dec 14th, 2023 - about last year

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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