Tolentino, Gerard
Tolentino, Gerard is an individual health care provider with primary practice located at 2239 E Cook St , Springfield IL 62703-1944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tolentino, Gerard can be contacted via phone (217) 788-2300.Contact Information
Primary practice address
2239 E Cook St
Springfield IL 62703-1944
Phone: (217) 788-2300
Fax: (217) 788-2341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036098717 | Illinois |
Profile Details
| NPI number | 1588652580 |
|---|---|
| LBN Legal business name | Tolentino, Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Feb 2nd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588652580 | NPPES |
| Illinois | MEDICAID | 036098717 |
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