Girardot, Jeffrey D.

Girardot, Jeffrey D. is an individual health care provider with primary practice located at 801 S Washington St , Naperville IL 60540-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Girardot, Jeffrey D. can be contacted via phone (630) 527-3426.

Contact Information

Primary practice address
801 S Washington St Naperville IL 60540-7430
Phone: (630) 527-3426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-086322 Illinois

Profile Details

NPI number 1104802016
LBN Legal business name Girardot, Jeffrey D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 30th, 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 1104802016 NPPES
Illinois MEDICAID 036086322

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