Shoener, Dean P

Shoener, Dean P is an individual health care provider with primary practice located at 1665 South St , Geneva IL 60134-2542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shoener, Dean P can be contacted via phone (630) 208-7874.

Contact Information

Primary practice address
1665 South St Geneva IL 60134-2542
Phone: (630) 208-7874
Fax: (630) 208-7880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036099967 Illinois

Profile Details

NPI number 1528063559
LBN Legal business name Shoener, Dean P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 2nd, 2014 - about 10 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 1528063559 NPPES
Illinois Other 206147 MEDICARE PTAN GROUP
Illinois MEDICAID 036099967 MEDICARE PTAN GROUP
Illinois Other F400118964 MEDICARE PTAN GROUP

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