Santiago-Palma, Juan

Santiago-Palma, Juan is an individual health care provider with primary practice located at 400 South Kennedy Dr , Bradley IL 60915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Santiago-Palma, Juan can be contacted via phone (815) 928-8050.

Contact Information

Primary practice address
400 South Kennedy Dr Bradley IL 60915
Phone: (815) 928-8050
Fax: (800) 505-2218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036-107524 Illinois

Profile Details

NPI number 1295743953
LBN Legal business name Santiago-Palma, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 6th, 2016 - about 9 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 1295743953 NPPES
Illinois MEDICAID 36107524

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