Madrigal, Doris
Madrigal, Doris is an individual health care provider with primary practice located at 1228 N Cedar Lake Rd Suite C, Round Lake Beach IL 60073-2556. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Madrigal, Doris can be contacted via phone (847) 740-8827.Contact Information
Primary practice address
1228 N Cedar Lake Rd Suite C
Round Lake Beach IL 60073-2556
Phone: (847) 740-8827
Fax: (847) 740-7388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-0227620 | Illinois |
Profile Details
| NPI number | 1154423127 |
|---|---|
| LBN Legal business name | Madrigal, Doris |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Oct 1st, 2008 - about 16 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 | 1154423127 | NPPES |
| Illinois | MEDICAID | 1002800-102967 |
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