Ortiz, Jose Luis

Ortiz, Jose Luis is an individual health care provider with primary practice located at 501 N Convent St , Bourbonnais IL 60914-1329. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ortiz, Jose Luis can be contacted via phone (815) 937-0632.

Contact Information

Primary practice address
501 N Convent St Bourbonnais IL 60914-1329
Phone: (815) 937-0632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051300646 Illinois

Profile Details

NPI number 1427576909
LBN Legal business name Ortiz, Jose Luis
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Aug 19th, 2020 - about 5 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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