Prodromos, Chadwick C
Prodromos, Chadwick C is an sole proprietor health care provider with primary practice located at 1714 Milwaukee Ave , Glenview IL 60025-1441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Prodromos, Chadwick C can be contacted via phone (847) 699-6810.Contact Information
Primary practice address
1714 Milwaukee Ave
Glenview IL 60025-1441
Phone: (847) 699-6810
Fax: (847) 699-2854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036062305 | Illinois |
Profile Details
| NPI number | 1265477699 |
|---|---|
| LBN Legal business name | Prodromos, Chadwick C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Aug 3rd, 2020 - 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 | 1265477699 | NPPES |
| Illinois | MEDICAID | 036062305 | |
| Illinois | Other | 1618365 |
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