Moreira, Jonathan

Moreira, Jonathan is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Moreira, Jonathan can be contacted via phone (312) 996-1581.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (312) 996-1581
Fax: (312) 413-4131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.130504 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036.130504 Illinois

Profile Details

NPI number 1336371590
LBN Legal business name Moreira, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Mar 17th, 2018 - about 8 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 1336371590 NPPES
Minnesota MEDICAID ENROLLED

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