Wainer, Gary
Wainer, Gary is an sole proprietor health care provider with primary practice located at 6840 Windsor Ave , Berwyn IL 60402-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wainer, Gary can be contacted via phone (708) 484-0042.Contact Information
Primary practice address
6840 Windsor Ave
Berwyn IL 60402-3441
Phone: (708) 484-0042
Fax: (708) 749-5489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036060677 | Illinois |
Profile Details
| NPI number | 1750384186 |
|---|---|
| LBN Legal business name | Wainer, Gary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Dec 27th, 2017 - about 8 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 | 1750384186 | NPPES |
| Illinois | MEDICAID | 036060677 |
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