Looyenga, David S

Looyenga, David S is an individual health care provider with primary practice located at 17850 Kedzie Ave Ste 3250 , Hazel Crest IL 60429-2082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Looyenga, David S can be contacted via phone (708) 799-8700.

Contact Information

Primary practice address
17850 Kedzie Ave Ste 3250 Hazel Crest IL 60429-2082
Phone: (708) 799-8700
Fax: (708) 957-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036075063 Illinois

Profile Details

NPI number 1801850904
LBN Legal business name Looyenga, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 20th, 2021 - 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 1801850904 NPPES
Illinois MEDICAID 036075063

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