Katznelson, Ian S
Katznelson, Ian S is an individual health care provider with primary practice located at 444 N Northwest Hwy Ste 200, Park Ridge IL 60068-3263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Katznelson, Ian S can be contacted via phone (847) 825-2366.Contact Information
Primary practice address
444 N Northwest Hwy Ste 200
Park Ridge IL 60068-3263
Phone: (847) 825-2366
Fax: (847) 825-2513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036106761 | Illinois |
Profile Details
| NPI number | 1194779082 |
|---|---|
| LBN Legal business name | Katznelson, Ian S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Aug 27th, 2009 - about 15 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 | 1194779082 | NPPES |
| Illinois | Other | 01615936 | BLUE SHIELD |
| Illinois | MEDICAID | 036106761 | BLUE SHIELD |
| Illinois | Other | P00218760 | BLUE SHIELD |
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