Dizon, Edgar

Dizon, Edgar is an individual health care provider with primary practice located at 900 Jorie Blvd Suite 186, Oak Brook IL 60523-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Dizon, Edgar can be contacted via phone (630) 954-6700.

Contact Information

Primary practice address
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213
Fax: (630) 954-1555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01028348A Indiana

Profile Details

NPI number 1932141090
LBN Legal business name Dizon, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 10th, 2008 - 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 1932141090 NPPES
Indiana MEDICAID 200409240A

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