Pascua, Jon
Pascua, Jon is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pascua, Jon can be contacted via phone (847) 990-2165.Contact Information
Primary practice address
801 S Milwaukee Ave
Libertyville IL 60048-3204
Phone: (847) 990-2165
Fax: (847) 362-8031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-084079 | Illinois |
Profile Details
| NPI number | 1467494625 |
|---|---|
| LBN Legal business name | Pascua, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467494625 | NPPES |
| Illinois | MEDICAID | 036-084079 | |
| Illinois | Other | L31070 |
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