Strom, John

Strom, John is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Strom, John can be contacted via phone (815) 285-5600.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021
Fax: (815) 285-5602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036065016 Illinois

Profile Details

NPI number 1184714149
LBN Legal business name Strom, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 27th, 2018 - about 7 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 1184714149 NPPES
Illinois Other 9815737 BLUE CROSS BLUE SHIELD
Illinois Other F400378211 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036065016 BLUE CROSS BLUE SHIELD
Illinois Other 091397 BLUE CROSS BLUE SHIELD

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