Pae, Elliott

Pae, Elliott is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pae, Elliott can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax: (630) 653-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036101323 Illinois

Profile Details

NPI number 1497724710
LBN Legal business name Pae, Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 2nd, 2008 - 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 1497724710 NPPES
Illinois Other 02215643 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036101323 BLUE CROSS BLUE SHIELD

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