Egekeze, Gilbert N

Egekeze, Gilbert N is an sole proprietor health care provider with primary practice located at 5911 Northwest Hwy #205, Crystal Lake IL 60014-8065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Egekeze, Gilbert N can be contacted via phone (815) 477-7800.

Contact Information

Primary practice address
5911 Northwest Hwy #205 Crystal Lake IL 60014-8065
Phone: (815) 477-7800
Fax: (815) 477-7812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036100558 Illinois

Profile Details

NPI number 1548361959
LBN Legal business name Egekeze, Gilbert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Apr 5th, 2012 - about 12 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 1548361959 NPPES
Illinois MEDICAID 036100558
Illinois Other 04532115
Illinois Other P00192277

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