Ehsan, Jawed
Ehsan, Jawed is an sole proprietor health care provider with primary practice located at 1100 Larkin Ave , Elgin IL 60123-5272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ehsan, Jawed can be contacted via phone (847) 742-0165.Contact Information
Primary practice address
1100 Larkin Ave
Elgin IL 60123-5272
Phone: (847) 742-0165
Fax: (847) 742-0190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
| NPI number | 1114901501 |
|---|---|
| LBN Legal business name | Ehsan, Jawed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Feb 22nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114901501 | NPPES |
| Illinois | Other | 04532390 | BCBS |
| Illinois | Other | 04532181 | BCBS |
| Illinois | Other | P00090413 | BCBS |
| Illinois | Other | 209598 | BCBS |
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