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
Phone: (312) 227-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346275492 | NPPES |
Illinois | MEDICAID | 036085394 |
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