Prinz, Paul T.

Prinz, Paul T. is an individual health care provider with primary practice located at 675 W North Ave Suite 607, Melrose Park IL 60160-1634. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Prinz, Paul T. can be contacted via phone (708) 681-7809.

Contact Information

Primary practice address
675 W North Ave Suite 607 Melrose Park IL 60160-1634
Fax: (708) 681-7808
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036081375 Illinois

Profile Details

NPI number 1407802242
LBN Legal business name Prinz, Paul T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 28th, 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 1407802242 NPPES
Illinois MEDICAID 036081375
Illinois Other 01625553

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