Mejicano, Rodolfo J
Mejicano, Rodolfo J is an sole proprietor health care provider with primary practice located at 9641 W 153Rd St 48, Orland Park IL 60462-3775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mejicano, Rodolfo J can be contacted via phone (708) 403-0431.Contact Information
Primary practice address
9641 W 153Rd St 48
Orland Park IL 60462-3775
Phone: (708) 403-0431
Fax: (708) 403-0699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036078539 | Illinois |
Profile Details
| NPI number | 1932107430 |
|---|---|
| LBN Legal business name | Mejicano, Rodolfo J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Apr 11th, 2017 - about 7 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 | 1932107430 | NPPES |
| Illinois | MEDICAID | 036078539 |
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