Diokno, Rafael M

Diokno, Rafael M is an individual health care provider with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diokno, Rafael M can be contacted via phone (217) 446-6410.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Phone: (217) 446-6410
Fax: (217) 477-4757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036052482 Illinois

Profile Details

NPI number 1801843404
LBN Legal business name Diokno, Rafael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Nov 4th, 2009 - about 16 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 1801843404 NPPES
Other 240024 UNITED HEALTHCARE
MEDICAID 036052482 UNITED HEALTHCARE
Other 170577 UNITED HEALTHCARE
MEDICAID 100002290A UNITED HEALTHCARE

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