Terrell, Calvin B

Terrell, Calvin B is an individual health care provider with primary practice located at 14124 Glenwood Ct , Libertyville IL 60048-1591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Terrell, Calvin B can be contacted via phone (847) 918-8863.

Contact Information

Primary practice address
14124 Glenwood Ct Libertyville IL 60048-1591
Phone: (847) 918-8863
Fax: (847) 918-8864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36093355 Illinois

Profile Details

NPI number 1558347377
LBN Legal business name Terrell, Calvin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558347377 NPPES
Illinois MEDICAID 36093355

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