Warren, Jonathan
Warren, Jonathan is an sole proprietor health care provider with primary practice located at 3077 W Jefferson St Ste 210 , Joliet IL 60435-5264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Warren, Jonathan can be contacted via phone (815) 773-9090.Contact Information
Primary practice address
3077 W Jefferson St Ste 210
Joliet IL 60435-5264
Phone: (815) 773-9090
Fax: (815) 773-9099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-104101 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036104101 | Illinois |
Profile Details
| NPI number | 1871519124 |
|---|---|
| LBN Legal business name | Warren, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Dec 26th, 2022 - 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 | 1871519124 | NPPES |
| Illinois | MEDICAID | 036104101 |
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