Donegan, Janet

Donegan, Janet is an individual health care provider with primary practice located at 1900 W Polk St , Chicago IL 60612-3723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Donegan, Janet can be contacted via phone (312) 864-5204.

Contact Information

Primary practice address
1900 W Polk St Chicago IL 60612-3723
Fax: (312) 864-9782
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 119058 Colorado

Profile Details

NPI number 1104897792
LBN Legal business name Donegan, Janet
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1104897792 NPPES
Colorado MEDICAID 62426567

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