Lindgren, Bruce W.

Lindgren, Bruce W. is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave # 24 , Chicago IL 60611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Lindgren, Bruce W. can be contacted via phone (312) 227-4000.

Contact Information

Primary practice address
225 E Chicago Ave # 24 Chicago IL 60611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036085394 Illinois
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036085394 Illinois

Profile Details

NPI number 1346275492
LBN Legal business name Lindgren, Bruce W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated May 22nd, 2020 - about 4 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 1346275492 NPPES
Illinois MEDICAID 036085394

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