Debruin, Ronald

Debruin, Ronald is an individual health care provider with primary practice located at 1800 Hollister Dr Suite G-18, Libertyville IL 60048-5263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Debruin, Ronald can be contacted via phone (847) 918-1462.

Contact Information

Primary practice address
1800 Hollister Dr Suite G-18 Libertyville IL 60048-5263
Fax: (847) 968-4311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036042120 Illinois

Profile Details

NPI number 1538258322
LBN Legal business name Debruin, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 2nd, 2009 - about 15 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 1538258322 NPPES
Illinois Other 202926 GROUP PTAN
Illinois MEDICAID 036042120 GROUP PTAN
Illinois Other 4923631 GROUP PTAN
Illinois Other 212545 GROUP PTAN

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