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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184684565 NPPES
Illinois MEDICAID 036064974

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