Light, Terry
Light, Terry is an individual health care provider with primary practice located at 2160 S First Ave 101-1740, Loyola University Medical Center, Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Light, Terry can be contacted via phone (708) 216-4570.Contact Information
Primary practice address
2160 S First Ave 101-1740, Loyola University Medical Center
Maywood IL 60153
Phone: (708) 216-4570
Fax: (708) 216-5858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 36060621 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036060621 | Illinois |
Profile Details
| NPI number | 1578537874 |
|---|---|
| LBN Legal business name | Light, Terry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Aug 24th, 2018 - about 6 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 | 1578537874 | NPPES |
| Illinois | MEDICAID | 36060621 |
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