Prusek, Dorothy T
Prusek, Dorothy T is an individual health care provider with primary practice located at 755 N York St , Elmhurst IL 60126-1607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Prusek, Dorothy T can be contacted via phone (331) 221-2900.Contact Information
Primary practice address
755 N York St
Elmhurst IL 60126-1607
Phone: (331) 221-2900
Fax: (331) 221-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036081546 | Illinois |
Profile Details
| NPI number | 1871592378 |
|---|---|
| LBN Legal business name | Prusek, Dorothy T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871592378 | NPPES |
| Illinois | MEDICAID | 036081546 | |
| Illinois | Other | 02232472 |
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