El Bzour, Monther F

El Bzour, Monther F is an individual health care provider with primary practice located at 215 E 1St St Ste 214, Dixon IL 61021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. El Bzour, Monther F can be contacted via phone (815) 285-5678.

Contact Information

Primary practice address
215 E 1St St Ste 214 Dixon IL 61021
Fax: (815) 285-5898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-104657 Illinois

Profile Details

NPI number 1912978222
LBN Legal business name El Bzour, Monther F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 21st, 2018 - about 6 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 1912978222 NPPES
Illinois MEDICAID 036104657
Illinois Other K15959

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