Pelegrin, Jodi Ann
Pelegrin, Jodi Ann is an individual health care provider with primary practice located at 518 Lucinda Ave Niu Health Services, Dekalb IL 60115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Pelegrin, Jodi Ann can be contacted via phone (815) 753-1311.Contact Information
Primary practice address
518 Lucinda Ave Niu Health Services
Dekalb IL 60115
Phone: (815) 753-1311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 036-119124 | Illinois |
Profile Details
| NPI number | 1891802286 |
|---|---|
| LBN Legal business name | Pelegrin, Jodi Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Sep 16th, 2014 - about 11 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 | 1891802286 | NPPES |
| Illinois | Other | 04515143 | BCBS# |
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