Hines, Jerome L
Hines, Jerome L is an individual health care provider with primary practice located at 908 N Elm St Ste 404 , Hinsdale IL 60521-3638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hines, Jerome L can be contacted via phone (630) 789-3422.Contact Information
Primary practice address
908 N Elm St Ste 404
Hinsdale IL 60521-3638
Phone: (630) 789-3422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036068936 | Illinois |
Profile Details
| NPI number | 1639117856 |
|---|---|
| LBN Legal business name | Hines, Jerome L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 18th, 2021 - about 3 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 | 1639117856 | NPPES |
| Illinois | Other | IL4174006 | MEDICARE-LOCALITY 16 |
| Illinois | Other | 1912218850 | MEDICARE-LOCALITY 16 |
| Illinois | Other | IL4177006 | MEDICARE-LOCALITY 16 |
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