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
Phone: (815) 285-5600
Fax: (815) 285-5602
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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