Iwata, Jan Lei

Iwata, Jan Lei is an sole proprietor health care provider with primary practice located at 1 E Superior St 307, Chicago IL 60611-2507. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Iwata, Jan Lei can be contacted via phone (773) 501-7394.

Contact Information

Primary practice address
1 E Superior St 307 Chicago IL 60611-2507
Phone: (773) 501-7394
Fax: (773) 296-7787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 7541 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7541 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 7541 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-105234 Illinois
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 036-105234 Illinois
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 036-105234 Illinois

Profile Details

NPI number 1922177351
LBN Legal business name Iwata, Jan Lei
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jan 8th, 2014 - about 11 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 1922177351 NPPES
Illinois Other 01632904 BLUE CROSS BLUE SHIELD

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