Wander, John
Wander, John is an individual health care provider with primary practice located at 908 N Elm St Suite 310, Hinsdale IL 60521-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wander, John can be contacted via phone (630) 325-3310.Contact Information
Primary practice address
908 N Elm St Suite 310
Hinsdale IL 60521-3625
Phone: (630) 325-3310
Fax: (630) 325-9163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036042495 | Illinois |
Profile Details
| NPI number | 1366444150 |
|---|---|
| LBN Legal business name | Wander, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366444150 | NPPES |
| Illinois | Other | 020008007 | RR MEDICARE PROVIDER # |
| Illinois | Other | 0002220321 | RR MEDICARE PROVIDER # |
| Illinois | MEDICAID | 036024295 | RR MEDICARE PROVIDER # |
| Illinois | Other | CD5773 | RR MEDICARE PROVIDER # |
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