Magnanao, Ulysses M

Magnanao, Ulysses M is an individual health care provider with primary practice located at 1710 N Randall Rd Suite 200, Elgin IL 60123-9400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Magnanao, Ulysses M can be contacted via phone (847) 214-5780.

Contact Information

Primary practice address
1710 N Randall Rd Suite 200 Elgin IL 60123-9400
Fax: (847) 214-5777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105671 Illinois

Profile Details

NPI number 1225020142
LBN Legal business name Magnanao, Ulysses M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 26th, 2021 - about 3 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 1225020142 NPPES
Illinois Other 1619414 BCBS GROUP
Illinois Other 612034800 BCBS GROUP
Illinois MEDICAID 036105671 BCBS GROUP
Illinois Other 05632414 BCBS GROUP
Illinois Other P01117452 BCBS GROUP
Illinois Other 05632168 BCBS GROUP

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