Passen, Edward
Passen, Edward is an sole proprietor health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Passen, Edward can be contacted via phone (847) 823-9800.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068
Phone: (847) 823-9800
Fax: (847) 823-9801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036066133 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036066133 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036066133 | Illinois |
Profile Details
| NPI number | 1679617872 |
|---|---|
| LBN Legal business name | Passen, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Dec 20th, 2021 - about 3 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 | 1679617872 | NPPES |
| Illinois | MEDICAID | 036066133 | |
| Illinois | Other | 01627348 |
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