Mcdonald, Raymond J

Mcdonald, Raymond J is an individual health care provider with primary practice located at 534 Jackson Ave , River Forest IL 60305-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcdonald, Raymond J can be contacted via phone (708) 343-0079.

Contact Information

Primary practice address
534 Jackson Ave River Forest IL 60305-1804
Phone: (708) 343-0079
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036045872 Illinois

Profile Details

NPI number 1942203500
LBN Legal business name Mcdonald, Raymond J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 8th, 2018 - about 6 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 1942203500 NPPES
Illinois MEDICAID 036045872

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