Foreman, Jeffrey J
Foreman, Jeffrey J is an sole proprietor health care provider with primary practice located at 707 Lake Cook Road Suite 122, Deerfield IL 60015-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Foreman, Jeffrey J can be contacted via phone (847) 559-9243.Contact Information
Primary practice address
707 Lake Cook Road Suite 122
Deerfield IL 60015-4909
Phone: (847) 559-9243
Fax: (847) 559-9245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036101652 | Illinois |
Profile Details
| NPI number | 1881663243 |
|---|---|
| LBN Legal business name | Foreman, Jeffrey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 12th, 2012 - about 13 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 | 1881663243 | NPPES |
| Illinois | MEDICAID | 036101652 |
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