Mayor, David
Mayor, David is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115-9602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mayor, David can be contacted via phone (815) 748-2972.Contact Information
Primary practice address
1 Kish Hospital Dr
Dekalb IL 60115-9602
Phone: (815) 748-2972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 036064974 | Illinois |
Profile Details
| NPI number | 1184684565 |
|---|---|
| LBN Legal business name | Mayor, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Nov 27th, 2019 - about 5 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 | 1184684565 | NPPES |
| Illinois | MEDICAID | 036064974 |
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