Waldinger, Jason Bohm
Waldinger, Jason Bohm is an sole proprietor health care provider with primary practice located at 71 Waukegan Rd Ste 700 , Lake Bluff IL 60044-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Waldinger, Jason Bohm can be contacted via phone (847) 433-2620.Contact Information
Primary practice address
71 Waukegan Rd Ste 700
Lake Bluff IL 60044-1614
Phone: (847) 433-2620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036.134256 | Illinois |
Profile Details
| NPI number | 1437461027 |
|---|---|
| LBN Legal business name | Waldinger, Jason Bohm |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2010 |
| Last updated | Mar 3rd, 2021 - about 3 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 | 1437461027 | NPPES |
| Illinois | Other | 125058305 | STATE OF ILLINOIS MEDICAL LICENSE NUMBER |
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