Shlyak, Jean
Shlyak, Jean is an sole proprietor health care provider with primary practice located at 3000 Dundee Rd Ste 215 , Northbrook IL 60062-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shlyak, Jean can be contacted via phone (847) 390-8550.Contact Information
Primary practice address
3000 Dundee Rd Ste 215
Northbrook IL 60062-2432
Phone: (847) 390-8550
Fax: (847) 390-9095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036064733 | Illinois |
Profile Details
| NPI number | 1851457717 |
|---|---|
| LBN Legal business name | Shlyak, Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Apr 6th, 2011 - about 13 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 | 1851457717 | NPPES |
| Illinois | MEDICAID | 036064733 | |
| Illinois | Other | 31620794 |
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