Lerma, Juan Edgar

Lerma, Juan Edgar is an individual health care provider with primary practice located at 3358 W 95Th St , Evergreen Park IL 60805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lerma, Juan Edgar can be contacted via phone (708) 952-3040.

Contact Information

Primary practice address
3358 W 95Th St Evergreen Park IL 60805
Phone: (708) 952-3040
Fax: (708) 952-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036097893 Illinois

Profile Details

NPI number 1841279981
LBN Legal business name Lerma, Juan Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jun 5th, 2024 - about 3 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 1841279981 NPPES
Illinois MEDICAID 036097893

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