Mckoy, Cedric Juan

Mckoy, Cedric Juan is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # 2030 , Chicago IL 60637-1447. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Mckoy, Cedric Juan can be contacted via phone (773) 834-7854.

Contact Information

Primary practice address
5841 S Maryland Ave # 2030 Chicago IL 60637-1447
Phone: (773) 834-7854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209005033 Illinois

Profile Details

NPI number 1952529372
LBN Legal business name Mckoy, Cedric Juan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Aug 18th, 2015 - about 10 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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