Pundy, Andrew B
Pundy, Andrew B is an sole proprietor health care provider with primary practice located at 1875 Dempster Suite 490, Park Ridge IL 60068-1120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pundy, Andrew B can be contacted via phone (847) 518-8490.Contact Information
Primary practice address
1875 Dempster Suite 490
Park Ridge IL 60068-1120
Phone: (847) 518-8490
Fax: (847) 518-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036053081 | Illinois |
Profile Details
| NPI number | 1033199336 |
|---|---|
| LBN Legal business name | Pundy, Andrew B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 4th, 2022 - about 2 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 | 1033199336 | NPPES |
| Other | 21607583 | BL SHIELD |
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