Hoberman, Gary Jay

Hoberman, Gary Jay is an sole proprietor health care provider with primary practice located at 4201 Davis St , Skokie IL 60076-1601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hoberman, Gary Jay can be contacted via phone (312) 618-1208.

Contact Information

Primary practice address
4201 Davis St Skokie IL 60076-1601
Phone: (312) 618-1208
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003368 Illinois

Profile Details

NPI number 1609940139
LBN Legal business name Hoberman, Gary Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Nov 11th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609940139 NPPES
Illinois MEDICAID 016003368

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