Ragona, Brian P

Ragona, Brian P is an individual health care provider with primary practice located at 1050 Essington Rd Ste C , Joliet IL 60435-8416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ragona, Brian P can be contacted via phone (815) 729-0129.

Contact Information

Primary practice address
1050 Essington Rd Ste C Joliet IL 60435-8416
Fax: (815) 729-1643
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036069543 Illinois

Profile Details

NPI number 1992701015
LBN Legal business name Ragona, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 17th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992701015 NPPES
Illinois Other 110097513 RAILROAD MEDICARE
Illinois MEDICAID 036069543 RAILROAD MEDICARE
Illinois Other 09919564 RAILROAD MEDICARE

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