Navarro, Nicanor Juan

Navarro, Nicanor Juan is an sole proprietor health care provider with primary practice located at 102 Main St , West Chicago IL 60185-2835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Navarro, Nicanor Juan can be contacted via phone (630) 876-9055.

Contact Information

Primary practice address
102 Main St West Chicago IL 60185-2835
Phone: (630) 876-9055
Fax: (630) 876-8307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036062881 Illinois

Profile Details

NPI number 1881734572
LBN Legal business name Navarro, Nicanor Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 9th, 2007 - about 17 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 1881734572 NPPES
Illinois MEDICAID 036062881

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