Ronin, David
Ronin, David is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ronin, David can be contacted via phone (847) 318-2500.Contact Information
Primary practice address
1775 Ballard Rd
Park Ridge IL 60068-1005
Phone: (847) 318-2500
Fax: (847) 318-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036078858 | Illinois |
Profile Details
| NPI number | 1588640924 |
|---|---|
| LBN Legal business name | Ronin, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Dec 16th, 2021 - about 4 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 | 1588640924 | NPPES |
| Illinois | Other | 06168781 | BC/BS |
| Illinois | Other | P00213724 | BC/BS |
| Illinois | MEDICAID | 0360788582 | BC/BS |
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