Proske, Anthony E

Proske, Anthony E is an individual health care provider with primary practice located at 2132 W Jefferson St Suite A, Joliet IL 60435-6622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Proske, Anthony E can be contacted via phone (815) 744-7762.

Contact Information

Primary practice address
2132 W Jefferson St Suite A Joliet IL 60435-6622
Phone: (815) 744-7762
Fax: (815) 744-7861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036047541 Illinois

Profile Details

NPI number 1114918547
LBN Legal business name Proske, Anthony E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jun 29th, 2011 - about 13 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 1114918547 NPPES
Other 1235120668 CORP NPI#
Other 09900406 CORP NPI#
MEDICAID 036047541 CORP NPI#

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