Jido, Ebby P.

Jido, Ebby P. is an individual health care provider with primary practice located at 519 N Cass Ave , Westmont IL 60559-1514. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jido, Ebby P. can be contacted via phone (630) 470-6210.

Contact Information

Primary practice address
519 N Cass Ave Westmont IL 60559-1514
Phone: (630) 470-6210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036096238 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 036096238 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036096238 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036096238 Illinois

Profile Details

NPI number 1730258047
LBN Legal business name Jido, Ebby P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 13th, 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 1730258047 NPPES
Illinois MEDICAID 036096238

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