Federbusch, John Paul
Federbusch, John Paul is an individual health care provider with primary practice located at 2333 W Irving Park Rd , Chicago IL 60618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Federbusch, John Paul can be contacted via phone (773) 506-7340.Contact Information
Primary practice address
2333 W Irving Park Rd
Chicago IL 60618
Phone: (773) 506-7340
Fax: (773) 506-7341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 036056863 | Illinois |
Profile Details
| NPI number | 1235261264 |
|---|---|
| LBN Legal business name | Federbusch, John Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 29th, 2014 - about 10 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 | 1235261264 | NPPES |
| Illinois | MEDICAID | 036056863 | |
| Illinois | Other | 787360 | |
| Illinois | Other | 208486 | |
| Illinois | Other | 02215674 |
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