Mikuzis, John D.

Mikuzis, John D. is an individual health care provider with primary practice located at 850 Brook Forest Ave Unit F, Shorewood IL 60404-8513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mikuzis, John D. can be contacted via phone (815) 725-4918.

Contact Information

Primary practice address
850 Brook Forest Ave Unit F Shorewood IL 60404-8513
Phone: (815) 725-4918
Fax: (815) 725-4955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036077741 Illinois

Profile Details

NPI number 1629048178
LBN Legal business name Mikuzis, John D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Dec 14th, 2009 - about 15 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 1629048178 NPPES
Illinois Other 4521533 BC/BS
Illinois Other 158372300 BC/BS
Illinois MEDICAID 036077741 BC/BS

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