Mann, Jerome A.
Mann, Jerome A. is an sole proprietor health care provider with primary practice located at 605 W Euclid Ave , Arlington Heights IL 60004-5301. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Mann, Jerome A. can be contacted via phone (847) 392-1213.Contact Information
Primary practice address
605 W Euclid Ave
Arlington Heights IL 60004-5301
Phone: (847) 392-1213
Fax: (847) 392-4214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | Illinois | |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | Illinois | |
Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | Illinois | |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | Illinois |
Profile Details
NPI number | 1841349628 |
---|---|
LBN Legal business name | Mann, Jerome A. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2007 |
Last updated | Jul 8th, 2007 - 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 | 1841349628 | NPPES |
Illinois | Other | 60000603 | BLUE SHIELD |
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