Dorevitch, Samuel

Dorevitch, Samuel is an individual health care provider with primary practice located at 75 Remittance Dr Suite 1951, Chicago IL 60675-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dorevitch, Samuel can be contacted via phone (847) 535-5917.

Contact Information

Primary practice address
75 Remittance Dr Suite 1951 Chicago IL 60675-1001
Phone: (847) 535-5917
Fax: (847) 535-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36083148 Illinois

Profile Details

NPI number 1013993914
LBN Legal business name Dorevitch, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
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 1013993914 NPPES
Illinois MEDICAID 36083148

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