Lundquist, Cole David
Lundquist, Cole David is an individual health care provider with primary practice located at 1875 W Dempster St Ste 660, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lundquist, Cole David can be contacted via phone (847) 698-1210.Contact Information
Primary practice address
1875 W Dempster St Ste 660
Park Ridge IL 60068-1186
Phone: (847) 698-1210
Fax: (847) 698-0475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036056878 | Illinois |
Profile Details
NPI number | 1982688891 |
---|---|
LBN Legal business name | Lundquist, Cole David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2005 |
Last updated | Nov 11th, 2008 - about 17 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 | 1982688891 | NPPES |
Illinois | MEDICAID | 036056878 |
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