Prieto, Jorge J

Prieto, Jorge J is an sole proprietor health care provider with primary practice located at 800 Austin St #254, Evanston IL 60202-3439. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Prieto, Jorge J can be contacted via phone (847) 475-4550.

Contact Information

Primary practice address
800 Austin St #254 Evanston IL 60202-3439
Phone: (847) 475-4550
Fax: (847) 475-0482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36058076 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36058076 Illinois

Profile Details

NPI number 1740273747
LBN Legal business name Prieto, Jorge J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Apr 28th, 2021 - about 5 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 1740273747 NPPES
Illinois Other 1627223 BLUE SHIELD
Illinois MEDICAID 36058076 BLUE SHIELD

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