Fuld, Irving

Fuld, Irving is an individual health care provider with primary practice located at 2800 W 95Th Street Little Company Of Mary Hospital, Evergreen IL 60805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fuld, Irving can be contacted via phone (708) 229-5104.

Contact Information

Primary practice address
2800 W 95Th Street Little Company Of Mary Hospital Evergreen IL 60805
Phone: (708) 229-5104
Fax: (630) 323-1699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1508885567
LBN Legal business name Fuld, Irving
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508885567 NPPES
Other 0221524519 BCBS

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