Prentiss, Donald Paul

Prentiss, Donald Paul is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Prentiss, Donald Paul can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01074235A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X K8818 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-096029 Illinois

Profile Details

NPI number 1275617839
LBN Legal business name Prentiss, Donald Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275617839 NPPES
Illinois MEDICAID 036096029
Illinois Other K8818
Illinois Other 01074235A
Illinois Other 04515143
Illinois Other 7258113
Illinois Other 0072GK

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