Nepomuceno, Edilberto E

Nepomuceno, Edilberto E is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 301 , Olympia Fields IL 60461-1182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nepomuceno, Edilberto E can be contacted via phone (708) 679-2850.

Contact Information

Primary practice address
3700 W 203Rd St Ste 301 Olympia Fields IL 60461-1182
Phone: (708) 679-2850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036069957 Illinois

Profile Details

NPI number 1801877337
LBN Legal business name Nepomuceno, Edilberto E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Dec 22nd, 2022 - about 2 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 1801877337 NPPES
Illinois MEDICAID 036069957
Illinois Other 1124322680
Illinois Other 806290
Illinois Other 364317999

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