Moulthrop, Jeanette Marie Vollert

Moulthrop, Jeanette Marie Vollert is an individual health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1718. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moulthrop, Jeanette Marie Vollert can be contacted via phone (847) 570-2590.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1718
Phone: (847) 570-2590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1558306068
LBN Legal business name Moulthrop, Jeanette Marie Vollert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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