David, Henry

David, Henry is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. David, Henry can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036149685 Illinois

Profile Details

NPI number 1851785547
LBN Legal business name David, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2015
Last updated Sep 19th, 2019 - about 6 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 1851785547 NPPES
Other 135061 CALIFORNIA MEDICAL LICENSE NUMBER

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