Santos, Eddy
Santos, Eddy is an individual health care provider with primary practice located at 1111 W Lake St , Addison IL 60101-1197. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Santos, Eddy can be contacted via phone (630) 221-5305.Contact Information
Primary practice address
1111 W Lake St
Addison IL 60101-1197
Phone: (630) 221-5305
Fax: (630) 510-5464
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 17082198 | Illinois |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1184255648 |
---|---|
LBN Legal business name | Santos, Eddy |
Credentials | CAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2020 |
Last updated | Feb 6th, 2020 - about 5 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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