Noble, A. Gwendolyn
Noble, A. Gwendolyn is an sole proprietor health care provider with primary practice located at 7638 W North Ave , Elmwood Park IL 60707-4157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Noble, A. Gwendolyn can be contacted via phone (708) 452-4257.Contact Information
Primary practice address
7638 W North Ave
Elmwood Park IL 60707-4157
Phone: (708) 452-4257
Fax: (708) 452-4283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-080087 | Illinois |
Profile Details
| NPI number | 1790763670 |
|---|---|
| LBN Legal business name | Noble, A. Gwendolyn |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790763670 | NPPES |
| Illinois | MEDICAID | 363842073 |
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