Mayer, John Gottfried

Mayer, John Gottfried is an individual health care provider with primary practice located at 105 N Greenleaf St , Gurnee IL 60031-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mayer, John Gottfried can be contacted via phone (847) 623-3090.

Contact Information

Primary practice address
105 N Greenleaf St Gurnee IL 60031-3326
Phone: (847) 623-3090
Fax: (847) 623-9620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Illinois

Profile Details

NPI number 1194716985
LBN Legal business name Mayer, John Gottfried
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194716985 NPPES
Illinois Other 04915144 BCBS OF ILLINOIS

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