Fourte, Elliott Mckinley

Fourte, Elliott Mckinley is an sole proprietor health care provider with primary practice located at 10661 S Roberts Rd 103, Palos Hills IL 60465-1954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fourte, Elliott Mckinley can be contacted via phone (708) 974-9999.

Contact Information

Primary practice address
10661 S Roberts Rd 103 Palos Hills IL 60465-1954
Phone: (708) 974-9999
Fax: (708) 974-9985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36117052 Illinois

Profile Details

NPI number 1023198298
LBN Legal business name Fourte, Elliott Mckinley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Oct 26th, 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 1023198298 NPPES
Illinois Other 36117052 STATE MEDICAL LICENSE

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