Tenner, Edward

Tenner, Edward is an individual health care provider with primary practice located at 4905 Old Orchard Ctr Ste 430, Skokie IL 60077-1458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tenner, Edward can be contacted via phone (847) 674-8400.

Contact Information

Primary practice address
4905 Old Orchard Ctr Ste 430 Skokie IL 60077-1458
Phone: (847) 674-8400
Fax: (847) 674-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036053038 Illinois

Profile Details

NPI number 1508843285
LBN Legal business name Tenner, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Dec 14th, 2011 - about 14 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 1508843285 NPPES
Illinois MEDICAID 036053038

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