Octavo, Don
Octavo, Don is an individual health care provider with primary practice located at 400 N Highland Ave , Aurora IL 60506-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Octavo, Don can be contacted via phone (630) 978-2532.Contact Information
Primary practice address
400 N Highland Ave
Aurora IL 60506-3814
Phone: (630) 978-2532
Fax: (630) 978-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 070014538 | Illinois |
Profile Details
| NPI number | 1740418664 |
|---|---|
| LBN Legal business name | Octavo, Don |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Jun 30th, 2009 - about 16 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 | 1740418664 | NPPES |
| Other | 070014538 | LICENSE NUMBER |
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