Wardlow, Jesse G.
Wardlow, Jesse G. is an individual health care provider with primary practice located at 11 Salt Creek Ln Ste 101 , Hinsdale IL 60521-3032. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Wardlow, Jesse G. can be contacted via phone (630) 789-3110.Contact Information
Primary practice address
11 Salt Creek Ln Ste 101
Hinsdale IL 60521-3032
Phone: (630) 789-3110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 036093003 | Illinois |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 036093003 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036093003 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036093003 | Illinois |
Profile Details
| NPI number | 1184653883 |
|---|---|
| LBN Legal business name | Wardlow, Jesse G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Mar 19th, 2021 - about 4 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 | 1184653883 | NPPES |
| Illinois | MEDICAID | 036093003 |
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