Joo, Peter T

Joo, Peter T is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Joo, Peter T can be contacted via phone (708) 681-3200.

Contact Information

Primary practice address
701 W North Ave Melrose Park IL 60160-1612
Phone: (708) 681-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036103200 Illinois

Profile Details

NPI number 1336181197
LBN Legal business name Joo, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 19th, 2010 - about 14 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 1336181197 NPPES
Illinois MEDICAID 036103200

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