Puzon, Cayetano

Puzon, Cayetano is an sole proprietor health care provider with primary practice located at 5310 N Sheridan Rd , Chicago IL 60640-2514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Puzon, Cayetano can be contacted via phone (773) 769-8165.

Contact Information

Primary practice address
5310 N Sheridan Rd Chicago IL 60640-2514
Phone: (773) 769-8165
Fax: (773) 769-8167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016004484 Illinois

Profile Details

NPI number 1265651905
LBN Legal business name Puzon, Cayetano
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1265651905 NPPES
Illinois MEDICAID 016004484

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