Hendricks, John C

Hendricks, John C is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hendricks, John C can be contacted via phone (309) 779-5000.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-30791 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036076685 Illinois

Profile Details

NPI number 1750381935
LBN Legal business name Hendricks, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 23rd, 2024 - about 7 months 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 1750381935 NPPES
Illinois MEDICAID 036076685
Illinois MEDICAID 0990986

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