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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1740273747 | NPPES |
| Illinois | Other | 1627223 | BLUE SHIELD |
| Illinois | MEDICAID | 36058076 | BLUE SHIELD |
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