Distel, John W.

Distel, John W. is an sole proprietor health care provider with primary practice located at 321 W Northwest Hwy , Barrington IL 60010-6833. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Distel, John W. can be contacted via phone (847) 842-8866.

Contact Information

Primary practice address
321 W Northwest Hwy Barrington IL 60010-6833
Phone: (847) 842-8866
Fax: (847) 842-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1043384076
LBN Legal business name Distel, John W.
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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