Lanciloti, John Joseph

Lanciloti, John Joseph is an sole proprietor health care provider with primary practice located at 486 Randall Rd Unit B , South Elgin IL 60177-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lanciloti, John Joseph can be contacted via phone (224) 783-5000.

Contact Information

Primary practice address
486 Randall Rd Unit B South Elgin IL 60177-3354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103107 Illinois

Profile Details

NPI number 1639283385
LBN Legal business name Lanciloti, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Feb 19th, 2024 - about last year

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 1639283385 NPPES
Illinois MEDICAID 036103107002
Illinois Other P0094857

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